DR. VENKATAPPA M PADMANABHA


Address: 902 E Main St, Barstow, CA 92311-2406
Phone: 7602554700

DR. VENKATAPPA M PADMANABHA (NPI# 1710946843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710946843
Entity Type Individual
Full Name DR. VENKATAPPA M PADMANABHA
Credential M.D FACP
Practice Address 902 E Main St
Barstow
CA 92311-2406
Practice Telephone 7602554700
Practice Fax Number 7602553840
Mailing Telephone 7602554700
Mailing Fax Number 7602553840
Enumeration Date 2006-03-18
Last Update Date 2010-06-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
A40810 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A408100 05

Office Location

Street Address 902 E MAIN ST
City BARSTOW
State CA
Zip Code 92311-2406

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528552437 Sheri Lorena Brady Counselor 309 E. Mt. View Suite 100, Barstow, CA 92311 2018-06-15
1205352556 Julie Ann Pellman Dietitian, Registered 100 Veterans Parkway, Barstow, CA 92311 2017-08-18
1821511106 Ambria Nicole Flippo Counselor 309 E Mountain View, Suite 100, Barstow, CA 92311 2017-07-19
1124485289 Wellness Acupuncture Clinic Case Management 1866 E Main St, Barstow, CA 92311 2016-01-20
1346606407 Kirsten Cheong Counselor 306 E. Mountain View St., Suite 100, Barstow, CA 92311 2016-01-05
1205222536 American Health Services LLC Substance Abuse Rehabilitation Facility 234/236, 300, 304 and 308e Fredricks Street, Barstow, CA 92311 2015-04-14
1043629512 Jon Pellerin Pharmacist 621 Montara, Barstow, CA 92311 2014-08-08
1255777421 Ramendeep K Singh Family Medicine 1890 W. Main St., Suite 110, Barstow, CA 92311 2013-05-15
1760731061 Jenifer Kristine Cordova Physical Therapist 1815 E. Main St., Barstow, CA 92311 2012-08-31
1053697250 Lisa Herrmann Counselor 222 E Main St. Suite 117, Barstow, CA 92311 2011-11-01
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Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396115853 Cedars Primary Care Apmc Internal Medicine 18370 Burbank Blvd Ste 201, Tarzana, CA 91356-2853 2015-09-28
1669886933 Marius Viseroi Internal Medicine 3231 Waring Ct Ste D, Oceanside, CA 92056-4510 2014-06-16
1730314378 Lofty L Basta Internal Medicine 765 Market St Apt 35a, San Francisco, CA 94103-2041 2009-05-27
1659534766 Goodfaith Family Medical Clinic Internal Medicine 7540 Garvey Ave Ste C, Rosemead, CA 91770-2960 2008-07-08
1710109509 Joshua A Jacobi Internal Medicine 301 S Fair Oaks Ave Ste 404, Pasadena, CA 91105-2562 2007-05-03
1972624955 Innovative Medical Solutions Inc A Medical Group Internal Medicine 14860 Roscoe Blvd Ste 200, Panorama City, CA 91402-4683 2007-04-03
1326101445 Karen K.w. Kakishiba, M.d. Inc. Internal Medicine 810 Richland Rd, Yuba City, CA 95991-6200 2006-12-19
1518030543 Lisa Law Internal Medicine 728 Pacific Ave Ste 302, San Francisco, CA 94133-4489 2006-11-16
1497844864 Shigeki Fujitani Internal Medicine 6170 Canterbury Dr, Apt 222, Culver City, CA 90230-7929 2006-10-12
1982791562 Rafayel Gevorkian Internal Medicine 5129 W Sunset Blvd, Los Angeles, CA 90027-5715 2006-10-06
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Competitor

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City BARSTOW
Zip Code 92311

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Dataset Information

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.

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