NR Devaraj MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A34201 Issued in CA

Legal business name

NR DEVARAJ MD INC

Practice address

3356 W. Ball Rd Suite 205
Anaheim, CA 92804-3737

Phone

(714) 952-0958

Fax

(714) 952-0719

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Rosie Frausto

Title

Practice Manager

Phone

(714) 952-0958

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Narayanaiyengar Ramanna Devaraj, MD

  • Cardiovascular Disease Physician
  • Anaheim, CA
  • NPI 1639133960
  Medicare reassignment NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1821175118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 W BALL RD SUITE 205",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043737",
            "telephone_number": "714-952-0958",
            "fax_number": "714-952-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 W. BALL RD SUITE 205",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043737",
            "telephone_number": "714-952-0958",
            "fax_number": "714-952-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NR DEVARAJ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "FRAUSTO",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "714-952-0958"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A34201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A342010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Novo Behavioral Services (Novo Pediatric Therapies)
• Maria Novoa
• Debra H Novotny, PT
• Hilda F Nowak, PA-C
• Jeffrey B Nowicki, DC
• Nuba Acupuncture & Wellness
• Nubert Ealr Parica Physical Therapy Group, Inc.
• Nuco Health Services LLC
• Mireya Nunez Flores
• Daisy Suhey Nunez Rivas

• Specialist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.