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DR. HANUMANTHARAO DAMERLA M.D.,
NPI 1225119464
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Dimas, CA

Active since October 17, 2006PECOS Enrolled
1900 SYCAMORE CANYON RD, SAN DIMAS, CA 91773(626) 975-2968(213) 639-1361 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Hanumantharao Damerla M.d., NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HANUMANTHARAO DAMERLA M.D., (NPI 1225119464) is an individual child & adolescent psychiatry provider in San Dimas, California, licensed in California (A69165) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225119464
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. HANUMANTHARAO DAMERLACredential: M.D.,
Location Address1900 SYCAMORE CANYON RDSan Dimas, CA 91773-1220
Mailing Address550 S Vermont AveLos Angeles, CA 90020-1912 · (213) 738-2902 · Fax (213) 639-1361
Phone(626) 975-2968
Fax(213) 639-1361
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 28, 2013
✔ NPI 1225119464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A69165
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1900 SYCAMORE CANYON RD, San Dimas, CA 91773
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Other Names 1

Former Name (1)Dr. Hanumantharao S.p. Damerla M.d.,

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hanumantharao Damerla M.d., is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Hanumantharao Damerla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of San Bernardino
9.8 mi
Clinical Medical Laboratory
150 E HOLT BLVD
Ontario, CA 91761
  • Reassigned Medicare billing, California enrollment
  • 233 clinicians in this Medicare group
NPI 1043281561 (909) 458-9430

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY NICOLE CLAYTON
Social Worker (Clinical)
1900 SYCAMORE CANYON RD
SAN DIMAS, CA 91773
Los Angeles County (909) 599-2361
DEBORAH JEAN DAGENAIS
Marriage & Family Therapist
1900 SYCAMORE CANYON RD
SAN DIMAS, CA 91773
Los Angeles County (909) 599-2694
JESSICA PELAYO
Social Worker (Clinical)
1900 SYCAMORE CANYON RD
SAN DIMAS, CA 91773
Los Angeles County (909) 599-2391
MRS. ANAIS CARMONA LCSW
Social Worker (Clinical)
1900 SYCAMORE CANYON RD
SAN DIMAS, CA 91773
Los Angeles County (626) 429-6964
MS. DARNISE WILLIAMS LPTIII
Technician, Other
1900 SYCAMORE CANYON RD
SAN DIMAS, CA 91773
Los Angeles County (909) 599-2391
ESPERANZA CEJA
Social Worker (Clinical)
1900 SYCAMORE CANYON RD
SAN DIMAS, CA 91773
Los Angeles County (909) 592-0579
CAMP GLEN ROCKEY
Psychiatric Residential Treatment Facility
1900 SYCAMORE CANYON RD
SAN DIMAS, CA 91773
Los Angeles County (909) 599-2391
AUTUMN ASHLEY BARTHOLOMY
Social Worker
1900 SYCAMORE CANYON RD
SAN DIMAS, CA 91773
Los Angeles County (909) 599-2391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hanumantharao Damerla's NPI number?

The NPI number for Hanumantharao Damerla is 1225119464. It was assigned to this individual provider in the NPPES registry on October 17, 2006. The provider is also known as Dr. Hanumantharao S.P. Damerla M.D.,.

Where is Hanumantharao Damerla located?

Hanumantharao Damerla practices at 1900 Sycamore Canyon Rd, San Dimas, CA 91773. The listed phone number is (626) 975-2968.

What is Hanumantharao Damerla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Hanumantharao Damerla enrolled in Medicare?

Yes. Hanumantharao Damerla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hanumantharao Damerla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hanumantharao Damerla reassigns Medicare benefits to County Of San Bernardino (Ontario, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hanumantharao Damerla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hanumantharao Damerla was last updated on March 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.