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Srikanth Mudumba

Pharmacist • Clearlake, CA

Active NPI 1962043174 Individual Practitioner Male Practitioner
Practice location in NPPES

15230 Lakeshore Dr
Clearlake, CA 954228107

Call 7079943141 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15230 Lakeshore Dr

Clearlake, CA 954228107

Telephone 7079943141
Organization at the Same NPPES Address or Phone
Lake Health Services Facility NPI 1770580268

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clearlake and California

15 active clinicians are listed under Pharmacist with a practice address in Clearlake, CA (32,552 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clearlake

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES CA 64289

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Dr. Pari Azari , MD

Pain Medicine - Interventional Pain Medicine

NPI 1942442132

Doctor of Medicine (M.D.)

Ciaran Carroll , FNP, MSN

Nurse Practitioner - Family

NPI 1720597339

Family Nurse Practitioner, Master of Science in Nursing

Dr. Sonja Derose , MD

Family Medicine

NPI 1558849661

Doctor of Medicine (M.D.)

Nadya Friedman

Psychiatry & Neurology - Psychiatry

NPI 1811048911
Rommel Gayagoy , FNP

Nurse Practitioner

NPI 1780140046

Family Nurse Practitioner

Dr. Manush Ghazaryan , MD

Internal Medicine

NPI 1548962566

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated September 30, 2019.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from October 2019 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1962043174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2019
Last Update: September 30, 2019
Sole Proprietor: No

Other Pharmacists in Clearlake

Mailing Address

15230 Lakeshore Dr

Clearlake, CA 954228107

Phone: 7079943141

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.