Active NPI
Triyug Bikram Malla Thakuri
- Internal Medicine Physician
- Downey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 204703
- Practice address
- 11500 Brookshire Ave
Downey, CA 90241-4917 - Phone
- (562) 904-5000
- Fax
- (562) 904-5140
- NPI assigned
- Jul 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 204703 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 000517815 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
11500 Brookshire Ave
Downey, CA 90241-4917
Mailing address
2200 Colorado Ave Apt 715
Santa Monica, CA 90404-5534
Phone (936) 207-6093
Other practice location 1
100 Medical Center Dr
Springfield, OH 45504-2687
Phone (937) 523-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-1461
11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000
12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339
Hospital & facility affiliations
- Springfield Regional Medical Center
- Pih Health Downey Hospital
- Mercy Health - Urbana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204703 | CA | MD | Internal Medicine Physician |
| 000517815 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Ohio, LLC | Internal Medicine | Current | Accepting new patients |
| Community Mercy Health Partners | Past | Accepting new patients |
Locations
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1043805690
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- Critical Access Hospital
- Urbana, OH
- NPI 1144286352
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1124680897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 COLORADO AVE APT 715",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904045534",
"telephone_number": "936-207-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 BROOKSHIRE AVE",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902414917",
"telephone_number": "562-904-5000",
"fax_number": "562-904-5140"
}
],
"practiceLocations": [
{
"address_1": "100 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OH",
"postal_code": "455042687",
"country_code": "US",
"telephone_number": "937-523-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLA THAKURI",
"first_name": "TRIYUG",
"middle_name": "BIKRAM",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-02",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "204703",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "000517815",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.