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SYAM P VUNNAMADALA MEDICAL CORP
NPI 1366983892
Specialist in Anaheim, CA

Active since March 16, 2017
1211 W LA PALMA AVE STE 310, ANAHEIM, CA 92801(714) 491-3928(714) 491-3960 Get Directions Write a Review

NPPES record last updated: June 13, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2017, Mar 17, 2017 (2 updates tracked since 2017).

About Syam P Vunnamadala Medical Corp NPPES

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

SYAM P VUNNAMADALA MEDICAL CORP (NPI 1366983892) is a healthcare organization registered as a specialist in Anaheim, California and active in the NPI registry since March 2017. The organization lists Syam P Vunnamadala, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1366983892
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSYAM P VUNNAMADALA MEDICAL CORP
Location Address1211 W LA PALMA AVE STE 310Anaheim, CA 92801-2815
Mailing Address10 Via GiadaNewport Coast, CA 92657-1623
Phone(714) 491-3928
Fax(714) 491-3960
Organization SubpartNo
Authorized OfficialSyam P VunnamadalaSole Owner · (714) 491-3928
Enumeration DateMarch 16, 2017
Last NPPES UpdateJune 13, 20172 updates tracked since enumeration
✔ NPI 1366983892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A64189
Definition
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.
1211 W LA PALMA AVE STE 310, Anaheim, CA 92801
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A641890CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Syam P Vunnamadala Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Syam P Vunnamadala Medical Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Syam Vunnamadala, MD
Thoracic Surgery
NPI 1508978909
1211 W LA PALMA AVE STE 310
Anaheim, CA 92801
(714) 491-3928
✔ PECOS✔ Accepts MedicareSame address

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

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 Syam P Vunnamadala Medical Corp's NPI number?

The NPI number for Syam P Vunnamadala Medical Corp is 1366983892. It was assigned to this organization in the NPPES registry on March 16, 2017.

Where is Syam P Vunnamadala Medical Corp located?

Syam P Vunnamadala Medical Corp is located at 1211 W La Palma Ave Ste 310, Anaheim, CA 92801. The listed phone number is (714) 491-3928.

What is Syam P Vunnamadala Medical Corp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Syam P Vunnamadala Medical Corp enrolled in Medicare?

Yes. Syam P Vunnamadala Medical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Syam P Vunnamadala Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Thoracic Surgery) reassigns their Medicare billing to Syam P Vunnamadala Medical Corp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Syam P Vunnamadala Medical Corp was last updated on June 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.