Vrijesh Shantanu Tantuwaya, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A79530 Issued in CA

Practice address

12630 Monte Vista Rd
Suite 105
Poway, CA 92064-2530

Phone

(858) 312-5016

Fax

(858) 312-5018

NPI assigned

Jun 17, 2005

Last updated

Feb 12, 2026By the provider in NPPES

Sex

Male

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 1

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

Specialty

NeurosurgeryAlso: Orthopedic Surgery

Education

Washington University School of Medicine, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vtantuwaya81662@scrippshlth.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vrijesh S Tantuwaya, MD, Inc

  • Neurological Surgery Physician
  • Poway, CA
  • NPI 1285793125
  Medicare reassignment NPD Authorized official
• Injured Workers Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Newport Beach, CA
  • NPI 1124630967
  NPD Authorized official
• Consensus MD Inc

  • Neurological Surgery Physician
  • Poway, CA
  • NPI 1982991337
  Authorized official Same address or phone
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Yuma Community Physicians, PLLC

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1114274446
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1235134966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13029 POMERADO RD STE B",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644246",
            "telephone_number": "858-312-5016",
            "fax_number": "858-312-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD",
            "address_2": "SUITE 105",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642530",
            "telephone_number": "858-312-5016",
            "fax_number": "858-312-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTUWAYA",
        "first_name": "VRIJESH",
        "middle_name": "SHANTANU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A79530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "45688",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luyang Tan, AC12693
• Xuezhong Tan
• Clarence Spencer Tang, DDS, MD
• Jeffrey P. Tang, LMFT
• Yueqiang Tang, CMT
• Sandra Tapia
• Veronica Flores Tapia
• Kyle Tate
• Marissa Baula Tayag, D.M.D.
• Emily C Taylor

• Neurological Surgery Physician in Poway, CA
• Providers in Poway, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.