SUMANT PONNALA (NPI# 1568877934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568877934 |
| Entity Type | Individual |
| Full Name | SUMANT PONNALA |
| Practice Address |
2734 El Camino Real Santa Clara CA 95051-3007 |
| Mailing Address |
2350 W El Camino Real Fl 2 Mountain View CA 94040-6203 |
| Practice Telephone | 4082413801 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2017-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A15611 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 6891 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 15th St, Augusta, GA 309120004 | 7066510012 |
| Street Address |
2734 EL CAMINO REAL |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95051-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891768826 | Saroja Dandamudi | Internal Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3041 | 2006-02-09 |
| 1033611280 | Ja Young Kim | Nurse Practitioner | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2018-03-04 |
| 1447784400 | Kathleen Coquia | Family Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2017-04-17 |
| 1215488770 | Cecilia Leanor Wille | Nurse Practitioner | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2016-10-20 |
| 1417306366 | Yi-wen Chen | Internal Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2016-06-10 |
| 1508240375 | Katherine Kwong | Registered Nurse | 2734 El Camino Real, Santa Clara, CA 95051 | 2015-07-11 |
| 1306284294 | Kerin Arora | Pediatrics | 2734 El Camino Real, Santa Clara, CA 95110-3007 | 2013-06-12 |
| 1972894707 | John Truong | Internal Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3041 | 2011-04-27 |
| 1043517352 | Melissa Huck Nguyen | Family Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2011-02-23 |
| 1558664169 | Alice Liao | Nurse Practitioner | 2734 El Camino Real, Santa Clara, CA 95051 | 2010-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043773690 | Christian Hamm | Pharmacist | Kaiser Permanente Medical Center Santa Clara, Dept 362 (inpatient Pharmacy), 710 Lawrence Expressway, Santa Clara, CA 95051 | 2019-04-10 |
| 1053879692 | Jiaqi Weng | Acupuncturist | 2062 Walsh Ave Suite B2, San Clare, CA 95051 | 2019-03-02 |
| 1699293209 | Leslie Avalos | Massage Therapist | 3530 Lochnivar Ave, Santa Clara, CA 95051 | 2017-09-04 |
| 1831552843 | Miral Neel Patel | Physical Therapist | 2737 Walsh Avenue, Alliance Occupational Medicine, Santa Clara, CA 95051 | 2016-03-29 |
| 1861831117 | Alison Wong | Emergency Medicine | 700 Lawrence Expy Dept 100, Santa Clara, CA 95051 | 2013-06-20 |
| 1073889291 | Brittany Lee Bianchi | Speech-Language Pathologist | 3775 Flora Vista Ave, Apt. 501, Santa Clara, CA 95051 | 2012-04-02 |
| 1124390067 | Karo Isajan | Chiropractor | 5145 Stevens Creek Blvd Ste 130, Santa Clara, CA 95051 | 2012-02-08 |
| 1598054991 | David Phillip Guo | Urology | 710 Lawrence Expy Dept 448, Santa Clara, CA 95051 | 2011-04-06 |
| 1043528573 | Jennifer Hui Young | Chiropractor | 2342 Walsh Ave, Santa Clara, CA 95051 | 2010-09-17 |
| 1386961217 | Assefa Gebremichael | Pharmacist | 1000 Kiely Blvd, #91, Santa Clara, CA 95051 | 2010-05-03 |
| Find all providers in zip 95051 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131623 | In Home Provider | Family Medicine | 2432 Concord Ave, Santa Clara, UT 84765-5621 | 2019-12-11 |
| 1528310570 | Lawrence Mason Shih | Family Medicine | 4006 Fitzpatrick Way, Santa Clara, CA 95054-4186 | 2012-10-15 |
| 1497018618 | Reija Matheson Rawle | Family Medicine | 2518 Mission College Blvd Ste 101, Santa Clara, CA 95054-1239 | 2012-06-21 |
| 1124349204 | Sfo Medical Corp | Family Medicine | 1387 Loyola Dr, Santa Clara, CA 95051-3916 | 2010-06-12 |
| 1851559405 | Chitra Vijayaraghavan | Family Medicine | 710 Lawrence Expy Dept 460, Adult and Family Medicine, Santa Clara, CA 95051-5173 | 2008-05-30 |
| 1699822346 | David Anthony Anzaldua | Family Medicine | 4949 Stevens Creek Blvd, Santa Clara, CA 95051-6661 | 2007-01-04 |
| 1295812816 | Roger W Washington | Family Medicine | 885 Scott Blvd Ste 4, Santa Clara, CA 95050-5255 | 2006-11-01 |
| 1316050016 | Lynn Semersky | Family Medicine | 2316 Running Water Ct, Santa Clara, CA 95054-1346 | 2006-08-16 |
| 1942212758 | Dhanu Kapoor | Family Medicine | 1150 Scott Blvd Ste B1, Santa Clara, CA 95050-4547 | 2006-08-12 |
| 1700829512 | Tripty Manoj Gandhi | Family Medicine | 1080 Scott Blvd, Suite 5, Santa Clara, CA 95050-5237 | 2006-06-13 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95051 |
Please comment or provide details below to improve the information on SUMANT PONNALA.
| 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.