DR. HANUMANTHARAO DAMERLA M.D. NPI 1225119464

NPI Information

  • NPI: 1225119464
  • Provider Name: DR. HANUMANTHARAO DAMERLA, M.D.,
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1900 SYCAMORE CANYON RD
    SAN DIMAS, CA
    ZIP 91773
  • Phone: (626) 975-2968

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NPI Details

DR. Hanumantharao Damerla, M.D., is a child and adolescent psychiatry psychiatry neurology in San Dimas, CA. The provider is 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. DR. Hanumantharao Damerla, M.D., NPI is 1225119464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 SYCAMORE CANYON RD
SAN DIMAS, CA
ZIP 91773-220
Phone: (626) 975-2968
Fax: (213) 639-1361

The NPI 1225119464 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 3/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryA69165CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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