Sowmya Ambuga Muralidhara, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A114660 Issued in CA

Practice address

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Phone

(619) 461-1920

Fax

(619) 461-1919

NPI assigned

Mar 31, 2009

Last updated

Sep 2, 2016By 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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Diego Critical Care Medical Group IncGroup PAC ID 7911083886, 74 clinicians

Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blessed Hospice California Inc Hospice, San Diego, CA, CCN B41582
• Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
• Lemon Grove Care and Rehabilitation Center Nursing home, Lemon Grove, CA, CCN 055182
• Stillwater Post-Acute Nursing home, El Cajon, CA, CCN 555076

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Lemon Grove Health Associates LLC

  dba Lemon Grove Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Lemon Grove, CA
  • NPI 1336134204

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

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.

• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment Care Compare group NPD
• San Diego Critical Care Medical Group, Inc

  • Internal Medicine Physician
  • El Cajon, CA
  • NPI 1609915990
  Medicare reassignment Care Compare group NPD
• Careconnectmd Ca PC

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1366063125
  Medicare reassignment NPD

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

• Blessed Hospice California, Inc.

  • Community Based Hospice Care Agency
  • San Diego, CA
  • NPI 1336745967
  Care Compare affiliation
• Grossmont Hospital Corporation

  dba Sharp Grossmont Hospital

  • General Acute Care Hospital
  • La Mesa, CA
  • NPI 1528041811
  Care Compare affiliation
• Lemon Grove Health Associates LLC

  dba Lemon Grove Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Lemon Grove, CA
  • NPI 1336134204

  Nursing home

  Care Compare affiliation
• San Diego Bay Holdings LLC

  • Skilled Nursing Facility
  • El Cajon, CA
  • NPI 1316637333

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1851533285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2249",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91943",
            "telephone_number": "619-461-1920",
            "fax_number": "619-461-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-461-1920",
            "fax_number": "619-461-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURALIDHARA",
        "first_name": "SOWMYA",
        "middle_name": "AMBUGA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A114660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MTR Child & Family Services LLC
• Emily Mu
• Dani Mae Mundo
• Marissa Christine Muniz, MFT 130957
• Hideyuki Murakami, MD
• Liliana Murillo
• Diana Murphy
• Janet P. Murphy, PSYCHOLOGIST
• Thomas Joseph Murphy, M.D.
• Marina Murzina

• Internal Medicine Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.