DASARI MEDICAL CORPORATION (NPI# 1548595309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548595309 |
Entity Type | Organization |
Organization Name | DASARI MEDICAL CORPORATION |
Practice Address |
1620 Pennsylvania Ave D Fairfield CA 94533-3551 |
Practice Telephone | 7074212229 |
Practice Fax Number | 7074283764 |
Mailing Telephone | 7074212229 |
Mailing Fax Number | 7074283764 |
Enumeration Date | 2009-10-13 |
Last Update Date | 2009-10-13 |
Authorized Official Name | DR. PADMA DASARI (CEO) |
Authorized Official Telephone | 7074212229 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A48000 | CA | Ambulatory Health Care Facilities |
Street Address |
1620 PENNSYLVANIA AVE D |
City | FAIRFIELD |
State | CA |
Zip Code | 94533-3551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922074814 | Solano After Hours Medical Clinic Inc. | Family Medicine | 1620 Pennsylvania Ave, Ste C, Fairfield, CA 94533-3551 | 2006-02-28 |
1568801918 | Adventist Health Physicians Network | Clinic/Center | 1620 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3551 | 2013-06-19 |
1114256955 | Jennifer K Fong | Podiatrist | 1620 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3551 | 2009-12-07 |
1093950040 | Seturam Pandurangi Md A Profession Corporation | Allergy & Immunology | 1620 Pennsylvania Ave, # B, Fairfield, CA 94533-3551 | 2008-12-04 |
1609078377 | Giang Hong Duc Son | Podiatrist | 1620 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3509 | 2007-06-04 |
1316032907 | Seturam Pandurangi | Allergy & Immunology | 1620 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3551 | 2006-10-03 |
1790887974 | Northbay Podiatric Medical Grp Inc | Podiatrist | 1620 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3509 | 2006-09-01 |
1114965258 | Rebekah O Ayodele | Family Medicine | 1620 Pennsylvania Ave, Suite C, Fairfield, CA 94533-3551 | 2006-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1124578604 | Butler County Community Health Consortium, Inc. | Clinic/Center | 211 Donald Dr, Fairfield, OH 45014-3006 | 2016-10-10 |
1558704171 | Landgraf D O, Robert L | Clinic/Center | 2560 N Texas St, Suite C, Fairfield, CA 94533-1649 | 2013-04-12 |
1346500840 | Fairfield Medical Clinic LLP | Clinic/Center | 223 W Main, Fairfield, MT 59436-0885 | 2012-05-18 |
1326236753 | Jayesh J. Patel M.d. Inc | Clinic/Center | 1525 Webster St Ste A, Fairfield, CA 94533-4935 | 2007-10-10 |
1538296231 | Fairfieldprimaryhealthcare,llc | Clinic/Center | 1261 Post Rd, Suite 201, Fairfield, CT 06824-6072 | 2007-02-28 |
1194735811 | Jeannette Peterson Md Inc | Clinic/Center | 1261 Travis Blvd, Suite 100, Fairfield, CA 94533-4897 | 2006-08-08 |
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1821699521 | Flora Lim | Clinic/Center | 2500 Alton Pkwy Ste 108, Irvine, CA 92606-5032 | 2020-11-08 |
1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
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1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
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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.