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Dev Appannagari Gnanadev, MD

Surgery in Colton, CA. Individual provider (NPI-1).

NPI number1104933985
StatusActive
Last updated in NPPESAug 10, 2026

Details

NPI
1104933985
Entity type
Individual (NPI-1)
Name
Dev Appannagari Gnanadev
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 25, 2006
Certification date
Aug 10, 2026
Last updated
Aug 10, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - GENERAL SURGERY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery00A357430CAYes
2086S0129X 00A357430CA
2086S0102X Surgery, Surgical Critical Care00A357430CA

Practice location

400 N Pepper Ave
Armc Modular # 3
Colton, CA 92324-1801

Phone 909-580-6210 · Fax 909-580-1363

Mailing address

Po Box 670
Redlands, CA 92373-0221

Phone 909-580-6210 · Fax 909-580-1363

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery Physician providers in Colton, CA

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