Purnima Thakran, M.D., PH.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A52465 Issued in CA

Practice address

18387 Hwy 18
Suites 1 & 2
Apple Valley, CA 92307-2214

Phone

(760) 242-0111

Fax

(760) 242-0877

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1184706616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18387 HWY 18",
            "address_2": "SUITES 1 & 2",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072214",
            "telephone_number": "760-242-0111",
            "fax_number": "760-242-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18387 HWY 18",
            "address_2": "SUITES 1 & 2",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072214",
            "telephone_number": "760-242-0111",
            "fax_number": "760-242-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKRAN",
        "first_name": "PURNIMA",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A52465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A524650",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A524651",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alireza Nikbaksh Tehrani, D.O.
• Dennise Tejeda
• Alganesh T Tekele, PHARM. D
• Xiaofei Teng, DDS
• Megan Tennyson
• Rajender S Thakran, M.D.
• Murray Allen Thale, MD
• The Mobileyes Foundation
• The One Step Closer Group Inc
• Thomas Thong Huu Nguyen, MD. Inc

• Specialist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.