Organization Active NPI

J R Vemulapalli MD Inc

  • Urology Physician
  • Brawley, CA
National Provider Identifier
1821462912
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
J R VEMULAPALLI MD INC
Practice address
751 W Legion Rd
Suite 103
Brawley, CA 92227-7732
Phone
(760) 344-7976
Fax
(760) 344-7106
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Jaganmohan R Vemulapalli Jr., MD
Title
Ceo
Phone
(760) 344-7976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

751 W Legion Rd
Suite 103
Brawley, CA 92227-7732

Mailing address

7036 Sitio Frontera
Carlsbad, CA 92009-2045
Phone (760) 344-7976

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1821462912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7036 SITIO FRONTERA",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920092045",
            "telephone_number": "760-344-7976",
            "fax_number": "760-344-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD",
            "address_2": "SUITE 103",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277732",
            "telephone_number": "760-344-7976",
            "fax_number": "760-344-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J R VEMULAPALLI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "VEMULAPALLI",
        "authorized_official_first_name": "JAGANMOHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-344-7976",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.