Individual provider Active NPI

Nisha Kuruvadi

  • Internal Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1104322239
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20100 Issued in CA
Practice address
769 Medical Center CT Ste 203
Chula Vista, CA 91911-6602
Phone
(619) 421-3313
Fax
(619) 421-3315
NPI assigned
Apr 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT018606 PA
Internal Medicine Physician 207R00000X S9922 TX
Internal Medicine Physician 207R00000X 20100 CA Primary

Addresses

Primary practice location

769 Medical Center CT Ste 203
Chula Vista, CA 91911-6602

Mailing address

769 Medical Center CT Ste 203
Chula Vista, CA 91911-6602
Phone (619) 421-3313

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
I20230111001560 CA Practitioner - Internal Medicine 4486904794 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Liberty Univ College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

769 Medical Ctr CT
Suite 203
Chula Vista, CA 91911-6602
Phone (619) 421-3313

Hospital & facility affiliations

  • Sea Coast Home Health Care Inc Home health agency, San Diego, CA, CCN 559055
  • Lorian Health Home health agency, San Diego, CA, CCN 058113
  • Archer Health Inc Home health agency, Carlsbad, CA, CCN 053124
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9922TXMDInternal Medicine Physician
20100CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kumara Prathipati, M.D.,Inc Internal Medicine CurrentSince Jun 15, 2023 Accepting new patients
Medical Wellness Doc Inc Internal Medicine CurrentSince Jul 21, 2025 Accepting new patients
Caremd, Inc. Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
VN Healthy Living Medical Group Inc Internal Medicine CurrentSince Nov 21, 2022 Accepting new patients
Longview Medical Center LP PastSince Nov 21, 2022 Accepting new patients

Locations

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

769 Medical Center Ct
Ste 203
Chula Vista, CA 91911
Phone (619) 421-3313

707 Palm Ave
Imperial Beach, CA 91932
Phone (619) 429-7700

5565 Grossmont Center Dr
Ste 444
La Mesa, CA 91942
Phone (619) 784-1060

7339 El Cajon Blvd
Ste I
La Mesa, CA 91942
Phone (619) 629-0500

502 Euclid Ave
Ste 203
National City, CA 91950
Phone (619) 405-6307

4276 54th Pl
Ste B
San Diego, CA 92115
Phone (619) 286-3222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 8

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": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1104322239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 MEDICAL CENTER CT STE 203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116602",
            "telephone_number": "619-421-3313",
            "fax_number": "619-421-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 MEDICAL CENTER CT STE 203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116602",
            "telephone_number": "619-421-3313",
            "fax_number": "619-421-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUVADI",
        "first_name": "NISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT018606",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S9922",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.