Organization Active NPI

Anand Prakash, M.D., Inc.

  • Neurology Physician
  • Riverside, CA
National Provider Identifier
1841345162
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A26623 Issued in CA
Legal business name
ANAND PRAKASH, M.D., INC.
Practice address
3975 Jackson Street
Suite #105
Riverside, CA 92503-3945
Phone
(951) 359-6030
Fax
(951) 359-6032
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Dr. Anand Prakash, M.D.
Title
Doctor/Owner
Phone
(951) 359-6030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A26623 CA Primary

Addresses

Primary practice location

3975 Jackson Street
Suite #105
Riverside, CA 92503-3945

Mailing address

3975 Jackson Street
Suite #105
Riverside, CA 92503-3945
Phone (951) 359-6030

Other identifiers 1

IdentifierTypeStateIssuer
00A266230MedicaidCA

National Provider Directory

National Provider Directory

Locations

3975 Jackson St
Ste 105
Riverside, CA 92503
Phone (951) 359-6030

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1841345162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 JACKSON STREET",
            "address_2": "SUITE #105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033945",
            "telephone_number": "951-359-6030",
            "fax_number": "951-359-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 JACKSON STREET",
            "address_2": "SUITE #105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033945",
            "telephone_number": "951-359-6030",
            "fax_number": "951-359-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAND PRAKASH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "ANAND",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "951-359-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A26623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A266230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.