Active NPI
Usha Idnani, M.D.
- Internal Medicine Physician
- Dana Point, CA
National Provider Identifier
1861446056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A54509
- Practice address
- 34052 La Plaza Street
Ste 105
Dana Point, CA 92629-0000 - Phone
- (949) 276-6499
- Fax
- (949) 276-6498
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A54509 | CA | Primary |
Addresses
Primary practice location
34052 La Plaza Street
Ste 105
Dana Point, CA 92629-0000
Mailing address
34052 La Plaza Street
Ste 105
Dana Point, CA 92629-0000
Phone (949) 276-6499
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO026 | Other | CA | MEDICARE INCENTIVE PROGRAM |
| CO026 | Other | CA | PTAN |
| A54509 | Other | CA | STATE LICENSE |
Other names 1
- Usha Gopal
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakersfield Family Medical Group Inc | Internal Medicine | Past | Accepting new patients |
| Coastal Communities Physician Network, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Bakersfield, CA
- NPI 1013912641
Internal Medicine
-
- Health Maintenance Organization
- San Luis Obispo, CA
- NPI 1275735011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1861446056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34052 LA PLAZA STREET",
"address_2": "STE 105",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926290000",
"telephone_number": "949-276-6499",
"fax_number": "949-276-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34052 LA PLAZA STREET",
"address_2": "STE 105",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926290000",
"telephone_number": "949-276-6499",
"fax_number": "949-276-6498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDNANI",
"first_name": "USHA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A54509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INCENTIVE PROGRAM",
"identifier": "CO026",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "CO026",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A54509",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "USHA",
"last_name": "GOPAL",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.