NPIMap

Organization Active NPI

R Srinivasan MD Inc

Doing business as Monterey Park Medical Center

  • Rheumatology Physician
  • Monterey Park, CA
National Provider Identifier
1780733923
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A25280 Issued in CA
Legal business name
R SRINIVASAN MD INC
Doing business as
Monterey Park Medical Center
Practice address
941 So Atlantic Blvd
#101
Monterey Park, CA 91754
Phone
(626) 458-8401
Fax
(626) 458-5606
NPI assigned
Jan 9, 2007
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Ramachandran Srinivasan, MDNPI 1689865503
Title
President
Phone
(626) 458-8401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A25280 CA
Internal Medicine Physician 207R00000X A25280 CA
Rheumatology Physician 207RR0500X A25280 CA Primary

Addresses

Primary practice location

941 So Atlantic Blvd
#101
Monterey Park, CA 91754

Mailing address

941 So Atlantic Blvd
#101
Monterey Park, CA 91754
Phone (626) 458-8401

Other identifiers 3

IdentifierTypeStateIssuer
WI4859OtherCABLUE CROSS
GR0008480MedicaidCA
WI4859OtherCABLUE SHIELD

Other names 1

  • Monterey Park Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

1900 S Atlantic Blvd
Ste 1
Monterey Park, CA 91754
Phone (626) 458-8020

935 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 458-8401

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1780733923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 SO ATLANTIC BLVD",
            "address_2": "#101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "626-458-8401",
            "fax_number": "626-458-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SO ATLANTIC BLVD",
            "address_2": "#101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "626-458-8401",
            "fax_number": "626-458-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R SRINIVASAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "SRINIVASAN",
        "authorized_official_first_name": "RAMACHANDRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-458-8401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A25280",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A25280",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A25280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "WI4859",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0008480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "WI4859",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monterey Park Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.