SREEDEVI JADCHERLA AYYALA (NPI# 1093893679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093893679 |
| Entity Type | Individual |
| Full Name | SREEDEVI JADCHERLA AYYALA |
| Credential | MD |
| Practice Address |
3311 Pacific Ave Livermore CA 94550-7007 |
| Mailing Address |
9961 Sierra Ave Fontana CA 92335-6720 |
| Practice Telephone | 9254621755 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A90855 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A908550 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5925 W Las Positas Blvd Ste 100, Pleasanton, CA 945888537 | 9254621755 | 9254171503 |
| Street Address |
3311 PACIFIC AVE |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306877121 | Axis Community Health Inc | Clinic/Center | 3311 Pacific Ave, Livermore, CA 94551 | 2006-07-06 |
| 1306354428 | Lauren Elizabeth Ham | Counselor | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2018-01-11 |
| 1760999270 | Amelia Patimasang Harmon | Peer Specialist | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2018-01-05 |
| 1699211482 | Kinalani Hoe | Social Worker | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2017-01-17 |
| 1578962064 | Guadalupe Guillermina Barattino | Community Health Worker | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2014-08-20 |
| 1114253457 | Edward Liu | Registered Nurse | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2009-10-21 |
| 1225219942 | Nelida I Villanueva | Case Manager/Care Coordinator | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2007-11-21 |
| 1710105408 | Axis Community Health Inc | Clinic/Center | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2007-04-20 |
| 1891898102 | Suzanne Silva | Nurse Practitioner | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| Find all providers in zip 94550 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1396221693 | Wellcare Physicians Group | Internal Medicine | 3356 East Ave, Livermore, CA 94550-4744 | 2018-07-19 |
| 1326377136 | Lamar Regional Health Center | Internal Medicine | 3090 Independence Dr, Suite 112, Livermore, CA 94551-9493 | 2009-12-08 |
| 1245346956 | Gary W. Peer | Internal Medicine | 87 Fenton St Ste 101, Livermore, CA 94550-4183 | 2006-08-23 |
| 1760492391 | Nader Riad Kaldas | Internal Medicine | 1370 Concannon Blvd, Livermore, CA 94550-6004 | 2006-08-08 |
| 1134179237 | Tassajara Valley Medical Group PC | Internal Medicine | 1258 Concannon Blvd, Livermore, CA 94550-6002 | 2006-05-11 |
| 1972552206 | Nikhil M Apte | Internal Medicine | 1133 East Stanley Blvd, # 101, Livermore, CA 94550 | 2006-05-05 |
| 1801880505 | Michael Robert Alper | Internal Medicine | 87 Fenton St, Suite 100, Livermore, CA 94550-4100 | 2005-09-08 |
| 1245230333 | Kevin K Lee | Internal Medicine | 1133 E Stanley Blvd Ste 101, Livermore, CA 94550-4270 | 2005-07-29 |
| 1619319217 | Faizan Iqbal Ahmad | Internal Medicine | 3000 Las Positas Rd, Livermore, CA 94551-9627 | 2013-07-24 |
| 1609217314 | Mehvish Mahmood | Internal Medicine | 3000 Las Positas Rd, Livermore, CA 94551-9627 | 2013-07-10 |
| Find all providers in LIVERMORE | ||||
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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.