SR NAKKA MD (NPI# 1366857377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366857377 |
| Entity Type | Organization |
| Organization Name | SR NAKKA MD |
| Other Organization Name | ADVANCED ENDOSCOPY CENTER-GASTROENTEROLOGY |
| Practice Address |
25495 Medical Center Dr Suite 307 Murrieta CA 92562-4902 |
| Mailing Address |
949 Calhoun Pl Suite A Hemet CA 92543-4403 |
| Practice Telephone | 9513043900 |
| Practice Fax Number | 9513043901 |
| Mailing Telephone | 9519291177 |
| Mailing Fax Number | 9517659111 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | DR. SREENIVASA RAO NAKKA (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9519291177 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
543686 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ADVANCED ENDOSCOPY CENTER-GASTROENTEROLOGY | Doing Business As Name - Organization |
| Street Address |
25495 MEDICAL CENTER DR SUITE 307 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265416424 | Jack Jacob Druet | Anesthesiology | 25495 Medical Center Dr, Suite 102, Murrieta, CA 92562-5963 | 2005-12-01 |
| 1154746964 | Hizon Medical Corporation | Family Medicine | 25495 Medical Center Dr, Suite 305, Murrieta, CA 92562-4902 | 2014-03-03 |
| 1912333907 | Hizon Medical Corporation | Non-Pharmacy Dispensing Site | 25495 Medical Center Dr, Suite 305, Murrieta, CA 92562-4902 | 2013-09-23 |
| 1154670560 | Murrieta Center for Pain, Inc. | Clinic/Center | 25495 Medical Center Dr, Suite 102, Murrieta, CA 92562-4902 | 2012-08-30 |
| 1326395021 | Platinum Women's Health and Wellness | Obstetrics & Gynecology | 25495 Medical Center Dr, Suite 300, Murrieta, CA 92562-4902 | 2012-08-13 |
| 1679836043 | Anesmd Consultants PC | Anesthesiology | 25495 Medical Center Dr, Ste 101, Murrieta, CA 92562-4902 | 2012-06-20 |
| 1821386020 | Cyrus K. Dadachanji | Anesthesiology | 25495 Medical Center Dr, Suite 102, Murrieta, CA 92562-4902 | 2011-07-21 |
| 1225336639 | Painmedgroup, Inc | Anesthesiology | 25495 Medical Center Dr, Suite 102, Murrieta, CA 92562-4902 | 2011-03-09 |
| 1508026246 | Thomas G Williams, Md Inc | Anesthesiology | 25495 Medical Center Dr, Suite 101, Murrieta, CA 92562-5963 | 2008-06-16 |
| 1114114881 | Jack J Druet, Md, Inc. | Anesthesiology | 25495 Medical Center Dr, Suite 102, Murrieta, CA 92562-5963 | 2007-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457874000 | University Surgery Center Doctors Inc | Clinic/Center | 25405 Hancock Ave Ste 110, Murrieta, CA 92562-5978 | 2017-07-25 |
| 1902284045 | Murrieta Specialty Surgery Center, PC - A Professional Corporation | Clinic/Center | 40663 Murrieta Hot Springs Rd, Suite C4, Murrieta, CA 92562-9022 | 2015-05-08 |
| 1962752055 | Murrieta Specialty Care Surgery Center | Clinic/Center | 39765 Date St Ste 100, Murrieta, CA 92563-2005 | 2012-09-15 |
| 1518984301 | Endoscopy Center of Inland Empire Inc | Clinic/Center | 40404 California Oaks Rd Ste A, Murrieta, CA 92562-5786 | 2006-07-16 |
| 1598372344 | Murrieta Center for Pain, Inc. | Clinic/Center | 25495 Medical Center Dr Ste 102, Murrieta, CA 92562-4903 | 2020-09-25 |
| 1235675893 | University Surgery Center | Clinic/Center | 25405 Hancock Ave, Suite 110, Murrieta, CA 92562-5982 | 2017-01-06 |
| 1326337718 | Rcm Surgery Center, LLC | Clinic/Center | 25405 Hancock Ave, Ste 110, Murrieta, CA 92562-5982 | 2011-04-06 |
| 1922104710 | Oaks Surgery Center Lp | Clinic/Center | 40740 California Oaks Rd, Murrieta, CA 92562-5727 | 2006-09-16 |
| 1871538140 | Inland Eye Specialists A Medical Corp | Clinic/Center | 25395 Hancock Ave, Suite 100, Murrieta, CA 92562 | 2006-06-19 |
| 1952363368 | Golden Triangle Surgicenter Lp | Clinic/Center | 25405 Hancock Ave, Suite 103, Murrieta, CA 92562-5982 | 2006-04-03 |
| Find all providers in MURRIETA | ||||
Please comment or provide details below to improve the information on SR NAKKA MD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.