Organization Active NPI

Tekyogi, LLC

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1033861539
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TEKYOGI, LLC
Practice address
380 Shadow Oaks
Irvine, CA 92618-4094
Phone
(408) 828-9909
NPI assigned
Jan 25, 2022
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Durga Prasad Mavuduri
Title
President
Phone
(408) 828-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

380 Shadow Oaks
Irvine, CA 92618-4094

Mailing address

380 Shadow Oaks
Irvine, CA 92618-4094
Phone (408) 828-9909

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1033861539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SHADOW OAKS",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184094",
            "telephone_number": "408-828-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SHADOW OAKS",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184094",
            "telephone_number": "408-828-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEKYOGI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "MAVUDURI",
        "authorized_official_first_name": "DURGA",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-828-9909"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.