Individual provider Active NPI

Pranathi Mruthyunjaya, M.D.

  • Psychiatry Physician
  • Santa Cruz, CA
National Provider Identifier
1144636705
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A154170 Issued in CA
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

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PhysiciansGroup PAC ID 8426951328, 616 clinicians
Saint Agnes Medical CenterGroup PAC ID 3971409335, 45 clinicians
Rideout Memorial HospitalGroup PAC ID 9234036088, 88 clinicians
Cep America - Psychiatry PCGroup PAC ID 0244522159, 93 clinicians

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 Hospital, San Francisco, CA, CCN 050152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154170CAMDPsychiatry Physician
30680OKMDPsychiatry Physician

Practice roles (12 of 13)

OrganizationSpecialtyStatusNew patients
Cep America - Psychiatry PC Psychiatry CurrentSince Jan 8, 2024 Accepting new patients
Hope Services CurrentSince Nov 14, 2023 Accepting new patients
Precision Psychiatric Services Inc CurrentSince Jan 1, 2022 Accepting new patients
Pih Health Physicians CurrentSince Jun 1, 2025 Accepting new patients
Saint Agnes Medical Center CurrentSince May 3, 2025 Accepting new patients
Pih Health Physicians CurrentSince Jun 1, 2025 Accepting new patients
Rideout Memorial Hospital CurrentSince Nov 1, 2024 Accepting new patients
Pih Health Physicians Current Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Jan 8, 2024 Accepting new patients
Cep America - Psychiatry PC Psychiatry Current Accepting new patients
Hope Services CurrentSince Nov 14, 2023 Accepting new patients
Trinity Home Health Services CurrentSince May 3, 2025 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

  • Direct secure messaging: pmruthyunjaya3774395@direct.trinity-health.org
  • Direct secure messaging: pmruthyunjaya122837@santaclaravalley.direct-ci.net
  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.