Active NPI
Pranathi Mruthyunjaya, M.D.
- Psychiatry Physician
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A154170
- Practice address
- 1400 Emeline Ave BLDG K
Santa Cruz, CA 95060-1976 - Phone
- (831) 454-4885
- NPI assigned
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 30680 | OK | |
| Psychiatry Physician | 2084P0800X | A154170 | CA | Primary |
Addresses
Primary practice location
1400 Emeline Ave BLDG K
Santa Cruz, CA 95060-1976
Mailing address
1400 Emeline Ave BLDG K
Santa Cruz, CA 95060-1976
Phone (831) 454-4885
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190523002648 | CA | Practitioner - Psychiatry | 1456694900 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pih Health PhysiciansSaint Agnes Medical CenterRideout Memorial HospitalCep America - Psychiatry PC
Practice addresses (Care Compare)
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
1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3301
726 4TH St
Marysville, CA 95901-5656
Phone (530) 740-1900
900 Hyde St
San Francisco, CA 94109-4806
Phone (415) 353-6000
Hospital & facility affiliations
- UCSF Health Saint Francis Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154170 | CA | MD | Psychiatry Physician |
| 30680 | OK | MD | Psychiatry Physician |
Practice roles (12 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Hope Services | Current | Accepting new patients | |
| Precision Psychiatric Services Inc | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Saint Agnes Medical Center | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Rideout Memorial Hospital | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Hope Services | Current | Accepting new patients | |
| Trinity Home Health Services | Current | Accepting new patients |
Locations
7850 White Ln
#E301
Bakersfield, CA 93309
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
726 4th St
Marysville, CA 95901
Phone (530) 491-9491
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000
455 Silicon Valley Blvd
San Jose, CA 95138
Phone (408) 819-7310
1555 Parkmoor Ave
San Jose, CA 95128
Phone (408) 282-0402
1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- pmruthyunjaya3774395@direct.trinity-health.org
- pmruthyunjaya122837@santaclaravalley.direct-ci.net
- pmruthyunjaya560441@hisp.ehr.sutterhealth.org
Organizations & group practices 13
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.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1588829006
-
- Community/Behavioral Health Agency
- Mountain View, CA
- NPI 1043571730
-
- Podiatrist
- La Mirada, CA
- NPI 1265941058
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1144636705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 EMELINE AVE BLDG K",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950601976",
"telephone_number": "831-454-4885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 EMELINE AVE BLDG K",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950601976",
"telephone_number": "831-454-4885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MRUTHYUNJAYA",
"first_name": "PRANATHI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "30680",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A154170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.