Active NPI
Lakshmi Kumari Avala, MD
- Pediatrics Physician
- Roseville, CA
National Provider Identifier
1962473686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A79103
- Practice address
- 902 Cirby Way
Roseville, CA 95661-4420 - Phone
- (916) 789-1798
- Fax
- (916) 789-0889
- NPI assigned
- Jan 30, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A79103 | CA | Primary |
Addresses
Primary practice location
902 Cirby Way
Roseville, CA 95661-4420
Mailing address
902 Cirby Way
Roseville, CA 95661-4420
Phone (916) 789-1798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146331 | Medicaid | CA |
Other names 1
- Mrs. Lakshmi Kumari Voodi
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A79103 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakshmi K Avala MD Inc | Pediatrics | Current | Accepting new patients |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
6341 Auburn Blvd
Ste A
Citrus Heights, CA 95621
6000 Fairway Dr
Ste 3
Rocklin, CA 95677
Interoperability endpoints
- lavala18300@hisp.ehr.sutterhealth.org
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.
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1962473686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 CIRBY WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614420",
"telephone_number": "916-789-1798",
"fax_number": "916-789-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 CIRBY WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614420",
"telephone_number": "916-789-1798",
"fax_number": "916-789-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVALA",
"first_name": "LAKSHMI",
"middle_name": "KUMARI",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A79103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2146331",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAKSHMI",
"last_name": "VOODI",
"middle_name": "KUMARI",
"prefix": "MRS.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.