Shalini Madugundi
Shalini Dabbadi Lakshmipathi · Internal Medicine

Address: 2015 E Mariposa Rd, Stockton, CA 95205-7735
Phone: 2097511900

Shalini Madugundi (NPI# 1154635506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1154635506
Entity Type Individual
Full Name Shalini Madugundi
Other Name Shalini Dabbadi Lakshmipathi
Credential M.D
Gender Female
Practice Address 2015 E Mariposa Rd
Stockton
CA 95205-7735
Practice Telephone 2097511900
Mailing Address 2015 E Mariposa Rd
Stockton
CA 95205-7735
Mailing Telephone 2097511900
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2010-07-27
Last Update Date 2016-07-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians A125552 CA

Physician Overview

NPI 1154635506
PAC ID by PECOS 5193950855
Professional Enrollment ID I20131105000850
Full Name Shalini Madugundi
Organization Legal Name COMMUNITY MEDICAL CENTERS INC
Phone Number 2098504000
Gender F
Graduation Year 2009
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 8426968520
Number of Group Practice Members 30
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050313 SUTTER TRACY COMMUNITY HOSPITAL

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750773792 Centurion Valley Healthcare Inc. Internal Medicine 6337 Brook Hollow Cir, Stockton, CA 95219-2441 2015-02-27
1134477599 Mahboob Ali Internal Medicine 1801 E March Ln Ste A170, Stockton, CA 95210-6673 2012-08-16
1841586781 Brian Aloyisus Boyle Internal Medicine 112 Dunkard Church Rd, Stockton, NJ 08559-1406 2011-06-20
1952534927 Geriatrics Long Term Care Medical Corporation Internal Medicine 1240 Robinhood Drive, Suite A, Stockton, CA 95207-5507 2009-08-25
1558504514 Ivan Safonoff Internal Medicine 90 Stompf Tavern Rd, Stockton, NJ 08559-1801 2009-04-07
1427212653 Connie Tang Singh Internal Medicine 1801 E March Ln Ste C310, Stockton, CA 95210-6683 2008-07-16
1285897892 Rashaad Ahmed Chothia Internal Medicine 415 E Harding Way Ste I, Stockton, CA 95204 2008-07-03
1346400546 Swetha Ramachandran Internal Medicine 5049 Pine Lake Ct, Stockton, CA 95219-2030 2008-06-11
1942467451 Yi-po Anthony Wu.,m.d.,m.p.h.,inc Internal Medicine 645 W Harding Way Ste 15, Stockton, CA 95204-5688 2008-05-21
1932377165 La Loma Medical Group, Inc. 2 Internal Medicine 10 E Charter Way, Stockton, CA 95206-1357 2008-02-11
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Office Location

Street Address 2015 E MARIPOSA RD
City STOCKTON
State CA
Zip Code 95205-7735

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841801081 Telegenx, LLC Durable Medical Equipment & Medical Supplies 127 S Locust St, Stockton, CA 95205 2020-08-12
1487130191 Rassiwala Dental Corporation Dentist 2043 E Fremont St Ste 8, Stockton, CA 95205 2018-07-16
1518464692 Szarisse Fernandez Pharmacist 2040 E. Mariposa Rd., Stockton, CA 95205 2018-04-06
1467820019 San Joaquin County Bhs Non-emergency Medical Transport (VAN) 1149 N. El Dorado St., Stockton, CA 95205 2015-09-11
1346617651 Kevin G.y. Tom Pharmacist 1528 Fremont St, Stockton, CA 95205 2015-08-24
1578749149 Peebles Family Care Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 404 North Broadway Ave, Stockton, CA 95205 2008-01-14
1780874149 Mv Transportation Non-emergency Medical Transport (VAN) 1250 South Wilson Way, Mv Transportation Ste #a1, Stockton, CA 95205 2007-07-31
1467513549 Stockton Pharmacy Pharmacy 3330 E Main St, Stockton, CA 95205 2006-12-13
1174155170 Phillip Brandon Long Pharmacist 2040 E Mariposa Rd, Stockton, CA 95205 2020-02-07
1558904136 Angela Moss Burns Counselor 430 N Pilgrim St, Stockton, CA 95205 2019-10-25
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Competitor

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City STOCKTON
Zip Code 95205

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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.