NPIMap

Organization Active NPI

Priority Family Care Center Apc

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1982298394
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PRIORITY FAMILY CARE CENTER APC
Practice address
2423 N Broadway
Los Angeles, CA 90031-2218
Phone
(213) 376-3762
Fax
(877) 606-7102
NPI assigned
Feb 25, 2021
Last updated
Feb 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Ramprasad Dandillaya, MDNPI 1316900236
Title
Owner
Phone
(310) 854-4995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2423 N Broadway
Los Angeles, CA 90031-2218

Mailing address

2423 N Broadway
Los Angeles, CA 90031-2218
Phone (213) 376-3762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210503002469 CA Part B Supplier - Clinic/Group Practice 3072922053 Receives reassigned benefits from 11 practitioners
Practice locations: Monterey Park, CA; Victorville, CA; Reseda, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

933 Centinela Ave
Inglewood, CA 90302
Phone (310) 677-4085

1766 Westwood Blvd Ste 110
Ste 110
Los Angeles, CA 90024

18905 Sherman Way
Ste B
Reseda, CA 91335
Phone (213) 376-3762

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1982298394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312218",
            "telephone_number": "213-376-3762",
            "fax_number": "877-606-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312218",
            "telephone_number": "213-376-3762",
            "fax_number": "877-606-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY FAMILY CARE CENTER APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "DANDILLAYA",
        "authorized_official_first_name": "RAMPRASAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-854-4995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.