NPIMap

Organization Active NPI

Surender Vuthoori MD Inc

  • Cardiovascular Disease Physician
  • Joshua Tree, CA
National Provider Identifier
1073626503
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A33804 Issued in CA
Legal business name
SURENDER VUTHOORI MD INC
Practice address
63532 29 Palms Hwy
#A
Joshua Tree, CA 92252
Phone
(760) 366-8491
Fax
(760) 346-2471
NPI assigned
Aug 17, 2006
Last updated
May 18, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SURENDER VUTHOORI MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Dr. Surender Vuthoori, MDNPI 1437297298
Title
President
Phone
(760) 366-8491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X A33804 CA Primary

Addresses

Primary practice location

63532 29 Palms Hwy
#A
Joshua Tree, CA 92252

Mailing address

PO Box 168
63532 29 Palms Hwy Ste a
Joshua Tree, CA 92252
Phone (760) 366-8491

Other identifiers 6

IdentifierTypeStateIssuer
913622300OtherCAMEDFL MEDICAL FLORIDA
199003100OtherCAUS LAB US DEPARTMENT OF LABOUR
00A338040MedicaidCA
199003100OtherCAACSTA ACS DEPARTMENT OF LABOUR
756061629OtherCAMEDICARE RAILROAD
ZZZ89656ZOtherCAMEDICARE ID TYPE

National Provider Directory

National Provider Directory
Part of
Surender Vuthoori MD Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1073626503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "address_2": "63532 29 PALMS HWY STE A",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "92252",
            "telephone_number": "760-366-8491",
            "fax_number": "760-346-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63532 29 PALMS HWY",
            "address_2": "#A",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "92252",
            "telephone_number": "760-366-8491",
            "fax_number": "760-346-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURENDER VUTHOORI MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURENDER VUTHOORI MD INC",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "VUTHOORI",
        "authorized_official_first_name": "SURENDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-366-8491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A33804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDFL MEDICAL FLORIDA",
            "identifier": "913622300",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US LAB US DEPARTMENT OF LABOUR",
            "identifier": "199003100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A338040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACSTA ACS DEPARTMENT OF LABOUR",
            "identifier": "199003100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "756061629",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE",
            "identifier": "ZZZ89656Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joshua Tree, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.