PADMA NANDURI


Address: 5330 Carroll Canyon Rd, Suite 210, San Diego, CA 92121-3756
Phone: 8584501010

PADMA NANDURI (NPI# 1528054640) 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) 1528054640
Entity Type Individual
Full Name PADMA NANDURI
Credential M.D., F.A.C.S.
Practice Address 5330 Carroll Canyon Rd
Suite 210
San Diego
CA 92121-3756
Practice Telephone 8584501010
Practice Fax Number 8584509451
Mailing Telephone 8584501010
Mailing Fax Number 8584509451
Enumeration Date 2005-09-23
Last Update Date 2016-12-21
NPI Deactivation Date 03/24/2006
NPI Reactivation Date 2006-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology A73131 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A731310 05

Office Location

Street Address 5330 CARROLL CANYON RD
SUITE 210
City SAN DIEGO
State CA
Zip Code 92121-3756

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1831674464 Stepahnie Becerra Behavior Technician 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 2018-09-28
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700496320 William Thomas Parker Ophthalmology 5279 Gaylord Pl, San Diego, CA 92117-1034 2020-08-07
1932763042 Logan M. Haak, M.d., Inc. Ophthalmology 1855 1st Ave # 200b, San Diego, CA 92101-2685 2019-04-24
1871009001 Glenn Paul Goltz Ophthalmology 4240 Arguello St, San Diego, CA 92103-1506 2017-12-26
1790232015 Coastal Skin and Eye Institute, Inc. Ophthalmology 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 2016-09-02
1811350549 Nora El-khatib Md Inc. Ophthalmology 302 Washington St # 150-1676, San Diego, CA 92103-2110 2016-03-31
1225419583 Andrew Cu-unjieng, M.d. Ophthalmology 4060 Fourth Ave Ste 405, San Diego, CA 92103-2121 2015-06-12
1215277272 Joseph Hartman Ophthalmology 5006 Westminster Ter, San Diego, CA 92116-2103 2013-02-27
1477804284 Michelle B. Crosby M.d., Ph.d. Incorporated Ophthalmology 5550 Carmel Mountain Rd Ste 206, San Diego, CA 92130-4861 2012-09-20
1467714311 Eye Care Associates of San Diego Medical Group, Inc. Ophthalmology 4455 Morena Blvd, Suite 203, San Diego, CA 92117-4358 2012-06-15
1790041804 Jessica Gomez Ophthalmology 7695 Cardinal Ct Ste 100, San Diego, CA 92123-3357 2012-04-03
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Competitor

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City SAN DIEGO
Zip Code 92121

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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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