Deepaaleya Medical Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DEEPAALEYA MEDICAL INC.

Practice address

914 W Foothill Blvd Ste a
Upland, CA 91786-3785

Phone

(909) 285-6717

Fax

(909) 946-8700

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Padmini Tummala, M.D.

Title

Ceo

Phone

(909) 204-4191

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fouad D Tawadrous, M.D.

  • Legal Medicine
  • Upland, CA
  • NPI 1013940543
  NPD (past)

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1063754737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 POMELLO DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 W FOOTHILL BLVD STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863785",
            "telephone_number": "909-285-6717",
            "fax_number": "909-946-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "685 N 13th Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864963",
            "country_code": "US",
            "telephone_number": "909-285-6717",
            "fax_number": "909-946-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEEPAALEYA MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "TUMMALA",
        "authorized_official_first_name": "PADMINI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-204-4191",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany De Jesus
• Sabrina Serah De Leon
• Megan Dean, RN, IBCLC
• Deborah Vandenboom
• Dulce R Decastro, MD
• Janice Kay Degrande, CAS
• Rebecca Manalac Deguzman, RPH
• Maryam Dehbozorgi, FNP
• Reese William Dehm
• Maritza Martin Del Rio, LCSW

• Cardiovascular Disease Physician in Upland, CA
• Providers in Upland, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.