DR. VIJAYA K TANGELLA (NPI# 1902024623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902024623 |
| Entity Type | Individual |
| Full Name | DR. VIJAYA K TANGELLA |
| Credential | M.D. |
| Practice Address |
750 W Olive Ave Suite 104 Merced CA 95348-2436 |
| Practice Telephone | 2093843115 |
| Practice Fax Number | 2093840878 |
| Mailing Telephone | 2093843115 |
| Mailing Fax Number | 2093840878 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2014-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A45065 | CA | Other Service Providers |
| N | 207L00000X | Anesthesiology | A45065 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174691232 | Vijaya Venkata Tangella | Psychologist | 739 Chappell Dr, Raleigh, NC 27606-3215 | 2006-11-30 |
| Street Address |
750 W OLIVE AVE SUITE 104 |
| City | MERCED |
| State | CA |
| Zip Code | 95348-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548333743 | B St J Medical Corporation | Psychiatry & Neurology | 750 W Olive Ave, Ste 105, Merced, CA 95348 | 2006-11-16 |
| 1811316375 | Maria Fernandez Renedo Md Inc | Internal Medicine | 750 W Olive Ave, Suite 102, Merced, CA 95348-2436 | 2014-04-14 |
| 1023256153 | Vijaya K. Tangella Md, Inc | Anesthesiology | 750 W Olive Ave, Suite 104, Merced, CA 95348-2436 | 2009-01-27 |
| 1033389903 | Diana Jean Hylton | Psychiatry & Neurology | 750 W Olive Ave, Suite 105, Merced, CA 95348 | 2008-03-07 |
| 1497895361 | Madhu K. Kris M.d. | Clinic/Center | 750 W Olive Ave, Suite 107a, Merced, CA 95348-2436 | 2007-02-08 |
| 1427112366 | Madhu K Kris | Internal Medicine | 750 W Olive Ave, Suite 106, Merced, CA 95348-2436 | 2006-12-21 |
| 1437224946 | Maria Fernandez Renedo | Internal Medicine | 750 W Olive Ave, Suite 102, Merced, CA 95348-2436 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031649 | Sydney Towle | Counselor | 3360 N Hwy 59 Suite K, Merced, CA 95348 | 2020-04-13 |
| 1972147544 | Aaliyah Belt | Behavior Technician | 2808 Park Ave, Suite A, Merced, CA 95348 | 2019-11-06 |
| 1922566025 | Michelle Chao Lee | Case Manager/Care Coordinator | 3360 North Hwy 59 Suite K, Merced, CA 95348 | 2019-03-07 |
| 1760952246 | Noemi Diaz | Counselor | 3360 North Hwy.59 Suite K, Merced, CA 95348 | 2018-11-28 |
| 1518451632 | Kenneth Tiea Pay | Pharmacist | 767 Ironstone Dr, Merced, CA 95348 | 2018-06-21 |
| 1295223444 | Andraya Diane Plascencia | Behavior Technician | 335 M St, Merced, CA 95348 | 2018-04-24 |
| 1801398839 | Elisabet Pulido | Case Manager/Care Coordinator | 3360 N State Hwy 59, K, Merced, CA 95348 | 2018-03-06 |
| 1184126674 | Carolina Rosales | Behavior Technician | 3335 M St., Merced, CA 95348 | 2018-03-01 |
| 1659897957 | Melody Vega | Social Worker | 3195 M Street, Merced, CA 95348 | 2017-08-17 |
| 1942739305 | Salvador Tinoco Jaramillo | Marriage & Family Therapist | 3360 N Highway 59 Suite K, Merced, CA 95348 | 2017-06-08 |
| Find all providers in zip 95348 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154719011 | Catherine A. Jones, Md Medical Corp | Specialist | 1190 W Olive Ave Ste F, Merced, CA 95348-1960 | 2014-12-30 |
| 1952683278 | Jennifer Dawn Favors Peterson | Specialist | 3920 Hatch Rd, Merced, CA 95340-8699 | 2011-09-13 |
| 1114195229 | Madhu K. Kris, M.d., Inc. | Specialist | 750 W Olive Ave Ste 106, Merced, CA 95348-2436 | 2008-02-12 |
| 1801933346 | Catherine A Price | Specialist | 2750 G St, Suite A, Merced, CA 95340-2953 | 2007-02-01 |
| 1881742146 | Renee Ann Garrett | Specialist | 780 W Olive Ave Ste 100, Merced, CA 95348-2437 | 2007-01-05 |
| 1437184777 | Sunit Ratilal Patel | Specialist | 3389 G St Ste B, Merced, CA 95340-0964 | 2006-07-12 |
| 1245260579 | Thomas M Weed | Specialist | 436 E Yosemite Ave, Ste A, Merced, CA 95340-8489 | 2006-07-03 |
| 1447205984 | Michael W Cluck | Specialist | 1170 W Olive Ave Ste B-d, Merced, CA 95348-1959 | 2006-05-23 |
| 1780656512 | Renato Dauigoy Yuzon | Specialist | 340 E Yosemite Ave, Merced, CA 95340-9167 | 2006-02-06 |
| 1043711963 | Lucina Alma Granados | Specialist | 3335 M St, Merced, CA 95348-2714 | 2018-02-26 |
| Find all providers in MERCED | ||||
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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.