Individual provider Active NPI

Ramya Bala Subramanian, DDS

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1891075180
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60717 Issued in CA
Practice address
10299 Scripps TRL Ste F
San Diego, CA 92131-2366
Phone
(858) 578-0277
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60717 CA Primary

Addresses

Primary practice location

10299 Scripps TRL Ste F
San Diego, CA 92131-2366

Mailing address

10299 Scripps TRL Ste F
San Diego, CA 92131-2366
Phone (858) 578-0277

Other practice location 1

11235 Affinity Ct
#65
San Diego, CA 92131-2745
Phone (714) 852-2274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 19, 2020 through Aug 19, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60717CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Ranch Family Dentistry Past Accepting new patients
Scripps Ranch Family Dentistry General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891075180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10299 SCRIPPS TRL STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312366",
            "telephone_number": "858-578-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10299 SCRIPPS TRL STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312366",
            "telephone_number": "858-578-0277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11235 Affinity Ct",
            "address_2": "#65",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921312745",
            "country_code": "US",
            "telephone_number": "714-852-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "RAMYA",
        "middle_name": "BALA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.