CENTER OF EXCELLENCE IN DIABETES AND ENDOCRINOLOGY (NPI# 1437447521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437447521 |
| Entity Type | Organization |
| Organization Name | CENTER OF EXCELLENCE IN DIABETES AND ENDOCRINOLOGY |
| Practice Address |
3814 Auburn Blvd Suite 72 Sacramento CA 95821-2123 |
| Practice Telephone | 9164261902 |
| Practice Fax Number | 9164261940 |
| Mailing Telephone | 9164261902 |
| Mailing Fax Number | 9164261940 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2013-05-31 |
| Authorized Official Name | DR. GNANAGURUDASAN PRAKASAM (PRESIDENT) |
| Authorized Official Telephone | 9137330888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
3814 AUBURN BLVD SUITE 72 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629079215 | Ulhas Mahabala Nadgir | Pediatrics | 3814 Auburn Blvd, Suite 72, Sacramento, CA 95821-2123 | 2005-08-03 |
| 1023476397 | Celina Trujillo | Nurse Practitioner | 3814 Auburn Blvd, Suite 72, Sacramento, CA 95821-2123 | 2016-02-02 |
| 1255734646 | Madelon Zegers | Nurse Practitioner | 3814 Auburn Blvd, Suite 72, Sacramento, CA 95821-2123 | 2014-09-30 |
| 1720235146 | Niyati Skaria | Pediatrics | 3814 Auburn Blvd, Suite 72, Sacramento, CA 95821-2123 | 2008-08-27 |
| 1285714378 | Floyd L Culler IIi | Pediatrics | 3814 Auburn Blvd, Suite 72, Sacramento, CA 95821-2123 | 2006-10-16 |
| 1871586065 | Gnanagurdasan Prakasam | Pediatrics | 3814 Auburn Blvd, 72, Sacramento, CA 95821-2123 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780140673 | Jennifer Anne Nuovo | Internal Medicine | 8880 Cal Center Dr Ste 300, Sacramento, CA 95826-3228 | 2019-02-15 |
| 1043744279 | Jun Park | Internal Medicine | 4150 V Street, Pssb, Suite G400, Sacramento, CA 95817 | 2017-04-13 |
| 1992237622 | Ushaanthy Ravindran | Internal Medicine | 4150 V St # G400, Sacramento, CA 95817-1460 | 2017-03-31 |
| 1639600125 | Deepti Pujare | Internal Medicine | 4860 Y St Ste B-0400, Sacramento, CA 95817-2307 | 2017-03-25 |
| 1134495146 | Erin Lafler Mccorry | Internal Medicine | 4150 V St Ste G400, Sacramento, CA 95817 | 2012-03-25 |
| 1386629970 | Siddika E Karakas | Internal Medicine | 4150 V Street, Suite G400, Ucdmc Endocrinology, Sacramento, CA 95817 | 2005-12-07 |
| 1538523980 | Andrea Marina Gonzalez | Internal Medicine | 4150 V St Ste G400, Sacramento, CA 95817-1460 | 2016-04-12 |
| 1811382559 | Polly Bo-yi Fu | Internal Medicine | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2015-03-31 |
| 1841540564 | Arline S. Yen | Internal Medicine | 2825 J St, Suite 435, Sacramento, CA 95816-4300 | 2012-09-11 |
| 1063761815 | Hiba Basheer | Internal Medicine | 4150 V St, Sacramento, CA 95817-1460 | 2012-09-06 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
Please comment or provide details below to improve the information on CENTER OF EXCELLENCE IN DIABETES AND ENDOCRINOLOGY.
| 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.