DR. SAMBRAJYA PALAGUMMI (NPI# 1902019433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902019433 |
| Entity Type | Individual |
| Full Name | DR. SAMBRAJYA PALAGUMMI |
| Credential | M.D |
| Practice Address |
23500 Kasson Road Tracy CA 95378-0400 |
| Mailing Address |
23500 Kasson Road Po Box 400 Tracy CA 95378-0400 |
| Practice Telephone | 2098354141 |
| Mailing Telephone | 2098354141 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A35449 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
23500 KASSON ROAD |
| City | TRACY |
| State | CA |
| Zip Code | 95378-0400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922210434 | California Deparmen of Correction | Public Health or Welfare | 23500 Kasson Road, Tracy, CA 95378-0400 | 2007-05-04 |
| 1568906352 | Yehenew B. Yeshiwas | Pharmacist | 23500 Kasson Road, Tracy, CA 95378 | 2016-12-13 |
| 1982078630 | Janet Joanne Graham | Licensed Practical Nurse | 23500 Kasson Road, Tracy, CA 95304 | 2015-11-18 |
| 1104228741 | Hinh Nguyen | Pharmacist | 23500 Kasson Road, Tracy, CA 95376 | 2014-09-25 |
| 1689099129 | Norma Hernandez | Social Worker | 23500 Kasson Road, Tracy, CA 95376 | 2014-02-20 |
| 1790025617 | Patricia Miller | Psychologist | 23500 Kasson Road, Tracy, CA 95376 | 2013-03-01 |
| 1104166198 | Gurmel Singh Dhaliwal | Case Manager/Care Coordinator | 23500 Kasson Road, Tracy, CA 95376 | 2013-02-27 |
| 1891970745 | Brian Sun Leo | Family Medicine | 23500 Kasson Road, Tracy, CA 95378-0004 | 2008-01-09 |
| 1376728782 | Rosellen Diehl | Dentist | 23500 Kasson Road, Deuel Vocational Institution, Tracy, CA 95378-0400 | 2008-01-03 |
| 1760670509 | Franklin Rafanan | Social Worker | 23500 Kasson Road, Tracy, CA 95304 | 2007-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245416817 | Michelle Y Street | Physician Assistant | 23,500 Kasson Rd, Tracy, CA 95378 | 2008-01-14 |
| 1831505809 | Frederick Curtis | Physician Assistant | 23500 Kasson Rd, Tracy, CA 95378 | 2014-07-10 |
| 1073870150 | Grant Joel Franceschi | Psychologist | 23500 Kasson Rd, Tracy, CA 95378 | 2012-04-13 |
| 1679800627 | Martin Henry Jansen | Psychiatry & Neurology | 23500 Kasson Rd, Tracy, CA 95378 | 2009-11-12 |
| 1821412974 | Carol Roberta Anderson | Psychologist | 23500 Kasson Rd., Tracy, CA 95378-0400 | 2014-02-10 |
| 1326592577 | Assist2transport, LLC | Non-emergency Medical Transport (VAN) | 125 W 9th St Unit 1083, Tracy, CA 95378-3043 | 2016-08-04 |
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750715777 | Navtejpal Singh Kahlon | General Practice | 1596 Poppy Hills Ln, Tracy, CA 95377-8701 | 2013-08-27 |
| 1013190263 | Brenda J Malone | General Practice | 23233 Los Ranchos Dr, Tracy, CA 95304-9761 | 2007-12-11 |
| 1457366890 | Wilfredo P Apostol | General Practice | 249 5th St E, Tracy, MN 56175-1536 | 2006-07-31 |
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| 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.