Sairwaa T. Prevost, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C51315 Issued in CA

Legal business name

SAIRWAA T. PREVOST, M.D., INC.

Practice address

35400 Bob Hope Dr
Suite 107
Rancho Mirage, CA 92270-1772

Phone

(646) 489-3312

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sairwaa Tandee Prevost, M.D.NPI 1619921426

Title

Medical Director

Phone

(646) 489-3312

Specialties & licenses 1

Addresses

Other names 1

• Age Right Wellness Center Doing business as

Locations

Practitioners 1

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

• Sairwaa Tandee Prevost, M.D.

  • Internal Medicine Physician
  • Montebello, CA
  • NPI 1619921426
  NPD (past) Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114056538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E TAHQUITZ CANYON WAY",
            "address_2": "ROOM 323",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626722",
            "telephone_number": "646-489-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "address_2": "SUITE 107",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "646-489-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAIRWAA T. PREVOST, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PREVOST",
        "authorized_official_first_name": "SAIRWAA",
        "authorized_official_middle_name": "TANDEE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "646-489-3312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Age Right Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Joshua Sadorra, PHARMD
• Sahara Surgery Center
• Preet Kaur Sahota
• Annette Catherine Said
• Anahita Saifollahi, MD
• Kellen Sakala, MD
• S. Hamid Reza Salari-Namin, MD
• Nasrin Saleh Jouneghani
• Yamin Sallowm, M.D
• Ryan Je Salvador, MD

• Internal Medicine Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.