Dr Lokesh S Tantuwaya M D Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G79268 Issued in CA

Legal business name

DR LOKESH S TANTUWAYA M D INC

Practice address

7830 Clairemont Mesa Blvd # 203
San Diego, CA 92111-1619

Phone

(858) 300-2626

Fax

(858) 300-2627

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kristen Tantuwaya

Title

Owner

Phone

(858) 300-2626

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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.

• Kristen Anne Carpowich, N.P.

  • Acute Care Nurse Practitioner
  • Solana Beach, CA
  • NPI 1821012170
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1114939659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236105",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920236105",
            "telephone_number": "858-300-2626",
            "fax_number": "858-300-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 CLAIREMONT MESA BLVD # 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111619",
            "telephone_number": "858-300-2626",
            "fax_number": "858-300-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LOKESH S TANTUWAYA M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "TANTUWAYA",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-300-2626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G79268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.