Individual provider Active NPI

Murugesamudali Thangavel, M.D.,

  • Neonatal-Perinatal Medicine Physician
  • Lancaster, CA
National Provider Identifier
1821012287
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
A34117 Issued in CA
Practice address
1600 W Avenue J
Neonatal Intensive Care Unit
Lancaster, CA 93534-2814
Phone
(661) 949-5373
Fax
(661) 726-6251
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X A34117 CA Primary

Addresses

Primary practice location

1600 W Avenue J
Neonatal Intensive Care Unit
Lancaster, CA 93534-2814

Mailing address

43741 Secure PL
Lancaster, CA 93536-5861
Phone (661) 949-5366

Other identifiers 1

IdentifierTypeStateIssuer
00A341170MedicaidCA

Other names 1

  • Dr. Murugesamudali Thangavel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Valley Health Care District Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1821012287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43741 SECURE PL",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365861",
            "telephone_number": "661-949-5366",
            "fax_number": "661-726-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W AVENUE J",
            "address_2": "NEONATAL INTENSIVE CARE UNIT",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-949-5373",
            "fax_number": "661-726-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGAVEL",
        "first_name": "MURUGESAMUDALI",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A34117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MURUGESAMUDALI",
            "last_name": "THANGAVEL",
            "prefix": "DR.",
            "credential": "M D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.