SRIRAM SAMBASIVAN (NPI# 1356350821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356350821 |
| Entity Type | Individual |
| Full Name | SRIRAM SAMBASIVAN |
| Credential | M.D. |
| Practice Address |
180 Northpoint Dr Redding CA 96003-2510 |
| Mailing Address |
Po Box 496084 Redding CA 96049-6084 |
| Practice Telephone | 5302323000 |
| Practice Fax Number | 5302428545 |
| Mailing Telephone | 5302323000 |
| Mailing Fax Number | 5302428545 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2012-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
A75554 | CA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A75554 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A755540 | 05 |
| Street Address |
180 NORTHPOINT DR |
| City | REDDING |
| State | CA |
| Zip Code | 96003-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942229182 | Dialysis Clinic Inc. | Clinic/Center | 180 Northpoint Dr, Redding, CA 96003-2510 | 2006-07-19 |
| 1992000871 | Edwina Whitacre | Nurse Practitioner | 180 Northpoint Dr, Redding, CA 96003-2510 | 2011-01-24 |
| 1518007137 | Catherine Ann Ludlow | Nurse Practitioner | 180 Northpoint Dr, Redding, CA 96003-2510 | 2007-02-07 |
| 1174532618 | Rafael Lupercio | Internal Medicine | 180 Northpoint Dr, Redding, CA 96003-2510 | 2006-08-05 |
| 1316956865 | Bruce Bartlow | Internal Medicine | 180 Northpoint Dr, Redding, CA 96003-2510 | 2006-08-05 |
| 1669481107 | Jeffrey Krahling | Internal Medicine | 180 Northpoint Dr, Redding, CA 96003-2510 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144882309 | Patricia Price | Social Worker | 2280 Benton Dr Building C, Suite A, Redding, CA 96003 | 2019-07-08 |
| 1487102745 | Jill Marie Shepherd Piercy Clark | Psychologist | 1465 Victor Ave Ste B, Redding, CA 96003 | 2016-09-15 |
| 1811344450 | Roger Milton Slagle | Social Worker | 999 Mission De Oro Dr Ste 103, Redding, CA 96003 | 2016-05-23 |
| 1265713812 | Tesha Marie Huston | Pharmacist | 975 Cypress Ave, Redding, CA 96003 | 2011-09-08 |
| 1861717605 | Western Physical Therapy Inc | Physical Therapist | 1495 Victor Ave, Suite D, Redding, CA 96003 | 2010-04-05 |
| 1013230036 | Douglas Norman Porter | Psychologist | 748 North Market St., Redding, CA 96003 | 2010-03-04 |
| 1821232877 | Express Medi-trans, Inc. | Non-emergency Medical Transport (VAN) | 2985 Innsbruck Dr, Redding, CA 96003 | 2009-04-21 |
| 1235393000 | Bridget Gabrielle Young | Physical Therapist | 2021 Benton Dr, Redding, CA 96003 | 2008-07-10 |
| 1447427406 | Terra Bella Communities | Nursing Facility/Intermediate Care Facility | 280 Riverpark Drive, Redding, CA 96003 | 2008-05-09 |
| 1588830657 | Terra Bella Communities | Intermediate Care Facility, Mentally Retarded | 237 Shadowrun Ct., Redding, CA 96003 | 2008-05-07 |
| Find all providers in zip 96003 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1851670335 | Muna Omar | Internal Medicine | 2701 Old Eureka Way Ste 1e, Redding, CA 96001 | 2011-08-15 |
| 1568791366 | Frank Sebat Md Inc | Internal Medicine | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2009-12-08 |
| 1982741674 | Feather River Critical Care Medical Group Inc | Internal Medicine | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2007-01-31 |
| 1255343208 | Frank Sebat | Internal Medicine | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2006-08-11 |
| 1801807805 | David D Johnson | Internal Medicine | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2006-08-11 |
| 1558372581 | Amjad Ali Musthafa | Internal Medicine | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2006-08-11 |
| 1174532618 | Rafael Lupercio | Internal Medicine | 180 Northpoint Dr, Redding, CA 96003-2510 | 2006-08-05 |
| 1316956865 | Bruce Bartlow | Internal Medicine | 180 Northpoint Dr, Redding, CA 96003-2510 | 2006-08-05 |
| 1669481107 | Jeffrey Krahling | Internal Medicine | 180 Northpoint Dr, Redding, CA 96003-2510 | 2006-08-05 |
| 1306824198 | Redding Critical Care Medical Group, Inc. | Internal Medicine | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2006-01-03 |
| Find all providers in REDDING | ||||
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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.