Individual provider Active NPI

Vedavathy Vallurupalli, MD

  • Anesthesiology Physician
  • Santa Ana, CA
National Provider Identifier
1043283542
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C54232 Issued in CA
Practice address
400 N Tustin Ave Ste 400
Santa Ana, CA 92705-3850
Phone
(714) 619-5383
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD438363 PA
Anesthesiology Physician 207L00000X L 4156 TX
Pediatric Anesthesiology Physician 207LP3000X 27442 OK
Anesthesiology Physician 207L00000X C54232 CA Primary

Addresses

Primary practice location

400 N Tustin Ave Ste 400
Santa Ana, CA 92705-3850

Mailing address

750 NE 13TH St
Oklahoma City, OK 73104-5010

Other practice location 1

1200 Everett Dr
Oklahoma City, OK 73104-5047
Phone (405) 271-4351

Other identifiers 1

IdentifierTypeStateIssuer
166221501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141021003253 CA Practitioner - Anesthesiology 0446221048 Reassigns benefits to 4 organizations
Practice locations: Ventura, CA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Anesthesia Medical Group IncGroup PAC ID 6103728407, 185 clinicians
Ventura County Anesthesia Medical Group, Inc.Group PAC ID 7113173543, 16 clinicians

Practice addresses (Care Compare)

1798 N Garey Ave
Pomona, CA 91767-2918
Phone (909) 865-9500

3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone (805) 652-6000

825 N Tenth St
Santa Paula Hospital/Ventura County Anesthe
Santa Paula, CA 93060-1309
Phone (805) 933-8632

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.49 of 100Reported as group
Quality
35.47
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C54232CAMDAnesthesiology Physician
MD438363PAMDAnesthesiology Physician
L 4156TXMDAnesthesiology Physician
27442OKMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Springs Anesthesia Services, PC Anesthesiology CurrentSince Jul 13, 2020 Accepting new patients
Ventura County Anesthesia Medical Group, Inc. Anesthesiology CurrentSince Sep 14, 2014 Accepting new patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince Nov 29, 2023 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Sheridan Healthcare of North Texas PA Anesthesiology Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

1301 N Rose Dr
Placentia, CA 92870
Phone (714) 524-4252

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

400 N Tustin Ave
Ste 400
Santa Ana, CA 92705
Phone (714) 619-5383

3116 W March Ln
Ste 200
Stockton, CA 95219
Phone (510) 537-1234

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1043283542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N TUSTIN AVE STE 400",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053850",
            "telephone_number": "714-619-5383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Everett Dr",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045047",
            "country_code": "US",
            "telephone_number": "405-271-4351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLURUPALLI",
        "first_name": "VEDAVATHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD438363",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L 4156",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "OK",
            "license": "27442",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C54232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166221501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.