Sivakami K Sivapalan MD, Inc

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

A64125 Issued in CA

Legal business name

SIVAKAMI K SIVAPALAN MD, INC

Practice address

1824 Lucy LN
Corona, CA 92879-8612

Phone

(951) 808-8627

NPI assigned

Dec 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sivakami K Sivapalan, MD

Title

Owner

Phone

(951) 808-8627

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1760665665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 LUCY LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928798612",
            "telephone_number": "951-808-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 LUCY LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928798612",
            "telephone_number": "951-808-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVAKAMI K SIVAPALAN MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "SIVAPALAN",
        "authorized_official_first_name": "SIVAKAMI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-808-8627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A64125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A641250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hospitalist Physician in Corona, CA
• Providers in Corona, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.