Individual provider Active NPI

Serah Uddaraju

  • General Practice Dentistry
  • Pleasant Hill, CA
National Provider Identifier
1982083358
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108378 Issued in CA
Practice address
401 Gregory LN Ste 218
Pleasant Hill, CA 94523-2846
Phone
(925) 687-0343
NPI assigned
May 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 059084 NY
General Practice Dentistry 1223G0001X 108378 CA Primary

Addresses

Primary practice location

401 Gregory LN Ste 218
Pleasant Hill, CA 94523-2846

Mailing address

401 Gregory LN Ste 218
Pleasant Hill, CA 94523-2846
Phone (925) 687-0343

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

State licenses

LicenseStateTypeSpecialty
108378CAMDGeneral Practice Dentistry
059084NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Uddaraju Inc General Practice CurrentSince Apr 27, 2025 Accepting new patients

Locations

401 Gregory Ln
Ste 218
Pleasant Hill, CA 94523
Phone (925) 685-1050

Organizations & group practices 1

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1982083358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN STE 218",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232846",
            "telephone_number": "925-687-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN STE 218",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232846",
            "telephone_number": "925-687-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDARAJU",
        "first_name": "SERAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059084",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.