Sambrajya Palagummi, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A35449 Issued in CA

Practice address

23500 Kasson Road
Tracy, CA 95378-0400

Phone

(209) 835-4141

NPI assigned

May 8, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• California Deparmen of Correction

  • Public Health or Welfare Agency
  • Tracy, CA
  • NPI 1922210434
  NPD (past)
• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Tracy, CA
  • NPI 1326673146
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902019433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23500 KASSON ROAD",
            "address_2": "PO BOX 400",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953780400",
            "telephone_number": "209-835-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23500 KASSON ROAD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953780400",
            "telephone_number": "209-835-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAGUMMI",
        "first_name": "SAMBRAJYA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A35449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Lawrence Padilla-Harrold
• Addriana Padilla
• Denise Padilla
• Norma Jean Paisley, L.C.S.W.
• Ariel Pajarito
• Marcelle Palmore
• Panacea Therapy Clinics
• Devna Umakant Pandit, DDS
• Kasey Pankratz
• Brianna Paradzinski

• General Practice Physician in Tracy, CA
• Providers in Tracy, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.