Uthaiah Kokkalera MD, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A100600 Issued in CA

Legal business name

UTHAIAH KOKKALERA MD, INC.

Practice address

18250 Roscoe Blvd.
# 335
Northridge, CA 91325-4282

Phone

(818) 700-7900

Fax

(818) 700-7901

NPI assigned

Oct 16, 2007

Last updated

Dec 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mona Alnachef

Title

Office Manager

Phone

(818) 700-7900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Uthaiah P Kokkalera, M.D.

  • Surgery Physician
  • Northridge, CA
  • NPI 1568404200
  Medicare reassignment NPD

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1881883734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33276",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913943276",
            "telephone_number": "818-700-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD.",
            "address_2": "# 335",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254282",
            "telephone_number": "818-700-7900",
            "fax_number": "818-700-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTHAIAH KOKKALERA MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "ALNACHEF",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-700-7900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A100600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.