Divya Lakshmi Kolli, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

53445 Issued in CA

Practice address

935 Market St
Yuba City, CA 95991-4217

Phone

(530) 674-4261

Fax

(530) 674-4269

NPI assigned

Jul 19, 2016

Last updated

May 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Divya Lakshmi Pandurangadu Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ampla HealthGroup PAC ID 5092619270, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oroville Hospital Hospital, Oroville, CA, CCN 050030
• Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: divya.kolli@ampla.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Oroville, CA
  • NPI 1952333635
  Medicare reassignment Care Compare group
• Carlos a. Smith, M.D, Professional Corporation

  dba Docgo

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1710690433
  Medicare reassignment
• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Chico, CA
  • NPI 1316963606
  NPD
• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Chico, CA
  • NPI 1881613669
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269
  Care Compare affiliation
• Rideout Memorial Hospital

  dba Adventist Health and Rideout

  • General Acute Care Hospital
  • Marysville, CA
  • NPI 1720088354
  Care Compare affiliation

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1811340391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 MARKET ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914217",
            "telephone_number": "530-674-4261",
            "fax_number": "530-674-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MARKET ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914217",
            "telephone_number": "530-674-4261",
            "fax_number": "530-674-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLI",
        "first_name": "DIVYA",
        "middle_name": "LAKSHMI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "53445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIVYA",
            "last_name": "PANDURANGADU",
            "middle_name": "LAKSHMI",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Otis Bayerd Kittle, DDS
• Lance Klimek
• Debbie Lynn Knight, LCSW
• James Knorr, M.D.
• Hoi Ming Ko
• Sabita Kondle, LMFT
• Venu M Kondle, M.D.
• Novdip Kaur Korte, DC
• Hamid Reza Kourdoni, M.D.
• Dillon Michael Kozloski

• Medical Physician Assistant in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.