Subbarao Mylavarapu, MD, a Professional Medical Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A044935 Issued in CA

Legal business name

SUBBARAO MYLAVARAPU, MD, A PROFESSIONAL MEDICAL CORPORATION

Doing business as

Premier Heart & Vascular Care

Practice address

351 Hospital Road
Suite 610
Newport Beach, CA 92663-3508

Phone

(949) 722-2411

Fax

(949) 650-4966

NPI assigned

Dec 24, 2007

Last updated

Oct 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Subbarao V. Mylavarapu, MDNPI 1659330850

Title

Owner/Ceo

Phone

(949) 722-2411

Specialties & licenses 1

Addresses

Other names 1

• Premier Heart & Vascular Care Doing business as

Locations

Practitioners 1

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.

• Subbarao V. Mylavarapu, MD

  • Cardiovascular Disease Physician
  • Newport Beach, CA
  • NPI 1659330850
  Authorized official Same address or phone

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1780868968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL ROAD",
            "address_2": "SUITE 610",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633508",
            "telephone_number": "949-722-2411",
            "fax_number": "949-650-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL ROAD",
            "address_2": "SUITE 610",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633508",
            "telephone_number": "949-722-2411",
            "fax_number": "949-650-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBBARAO MYLAVARAPU, MD, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "MYLAVARAPU",
        "authorized_official_first_name": "SUBBARAO",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "949-722-2411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A044935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Heart & Vascular Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lillian Victoria Strom, LMFT
• Jennifer Strong
• Loreen Strope, MD
• Ryan Christian Stuhr, DPT
• Kenneth Su, MD
• Chandler Marie Sudduth
• Laurel M. Sugden, PSYD, MPA
• Corinne S. Sugihara, M.D.
• Hitomi Sugimoto, PA-C
• Andrea Kimiko Sugino, LMFT

• Cardiovascular Disease Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.