Prem Bharat Tripathi, MD

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

A134605 Issued in CA

Practice address

3201 Danville Blvd Ste 120
Alamo, CA 94507-1933

Phone

(925) 733-7603

NPI assigned

Apr 15, 2013

Last updated

Sep 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

State licenses

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1265875702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 DANVILLE BLVD STE 120",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071933",
            "telephone_number": "925-733-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 DANVILLE BLVD STE 120",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071933",
            "telephone_number": "925-733-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPATHI",
        "first_name": "PREM",
        "middle_name": "BHARAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CA",
            "license": "A134605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Behavioral Health & Wellness
• Annika Ellis Tinson
• Michael J Tomcik, MD
• Nu Tran
• Lauren Trapani
• Michael Tsenter, LMFT
• Cameron C Turner, D.D.S.
• Toni Varela, ND
• Colette Vassilian, D.O.
• Kaitlin Walker

• Plastic Surgery Physician in Alamo, CA
• Providers in Alamo, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.