JAYASREE PADMA SUNDARAM (NPI# 1417489840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417489840 |
| Entity Type | Individual |
| Full Name | JAYASREE PADMA SUNDARAM |
| Practice Address |
4050 Dublin Blvd Dublin CA 94568-3112 |
| Mailing Address |
325 Distel Circle Los Angeles CA 90095-7419 |
| Practice Telephone | 9258756100 |
| Mailing Telephone | 9258756100 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A160035 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4050 DUBLIN BLVD |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680546 | Yatin Shah | Pediatrics | 4050 Dublin Blvd, Dublin, CA 94568-3112 | 2005-06-24 |
| 1093206864 | Minal Doshi | Social Worker | 4050 Dublin Blvd, Dublin, CA 94568 | 2018-05-28 |
| 1467949289 | Anastasiya Pereverzeva | Audiologist | 4050 Dublin Blvd, Dublin, CA 94568-3112 | 2018-04-17 |
| 1508399528 | Vishan Dinesh Dhamsania | Pediatrics | 4050 Dublin Blvd, Dublin, CA 94568-3112 | 2017-04-06 |
| 1568995686 | Kelly Moruza | Family Medicine | 4050 Dublin Blvd, Dublin, CA 94568-3112 | 2017-04-05 |
| 1558894667 | Steve Zhang | Family Medicine | 4050 Dublin Blvd, Dublin, CA 94568-3112 | 2017-04-05 |
| 1396199550 | Sana Ali | Family Medicine | 4050 Dublin Blvd, Dublin, CA 94568 | 2016-04-14 |
| 1255794970 | Ryan Lin | Pediatrics | 4050 Dublin Blvd, Dublin, CA 94568-3112 | 2016-03-30 |
| 1558743575 | Cheryl Marie Dronkers | Registered Nurse | 4050 Dublin Blvd, Pediatrics, Dublin, CA 94568-3112 | 2015-06-25 |
| 1275939977 | Johnny Yep | Family Medicine | 4050 Dublin Blvd, Dublin, CA 94568-3112 | 2014-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
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| 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 |
|---|---|---|---|---|
| 1376032268 | Mohammad Kamran Zaheer | Internal Medicine | 5035 Noor Park Cir, Dublin, OH 43016-7075 | 2018-05-07 |
| 1700306784 | Reliance Medical Group, Inc | Internal Medicine | 6850 Perimeter Dr Ste D, Dublin, OH 43016-8051 | 2017-06-21 |
| 1063832079 | Owen Johnson | Internal Medicine | 3118 Barry Trace Ct, Dublin, OH 43017-2212 | 2014-04-17 |
| 1659639656 | Huseini K Haveliwala | Internal Medicine | 2789 E Sugar Hill Ter, Dublin, CA 94568-4621 | 2012-04-26 |
| 1073819728 | Mann Medical Complex | Internal Medicine | 108b Corporate Square, Dublin, GA 31021 | 2011-01-28 |
| 1770719486 | Knotresha Floreth Stewart | Internal Medicine | 28 Town Center Drive, Dublin, VA 24084 | 2009-06-09 |
| 1720229693 | Daljeet Singh Samra | Internal Medicine | 3649 Aviano Way, Dublin, CA 94568-7338 | 2009-03-23 |
| 1386885697 | Dublin Nephrology Care, LLC | Internal Medicine | 203 Fairview Park Dr, Dublin, GA 31021-2550 | 2009-03-16 |
| 1841431475 | Senior Care Advantage LLC | Internal Medicine | 7652 Sawmill Rd, Suite 321, Dublin, OH 43016-9296 | 2009-03-11 |
| 1255592408 | Chandra S Duggirala | Internal Medicine | 3340 Giovanni Way, Dublin, CA 94568-4201 | 2008-06-20 |
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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.