Active NPI
Deandra Kuruppu
- Sleep Medicine (Internal Medicine) Physician
- Los Angeles, CA
National Provider Identifier
1275237034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 20A25002
- Practice address
- 650 Charles E Young Dr S RM 52-257
Los Angeles, CA 90095-1690 - Phone
- (310) 895-3307
- NPI assigned
- Mar 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 20A25002 | CA | Primary |
Addresses
Primary practice location
650 Charles E Young Dr S RM 52-257
Los Angeles, CA 90095-1690
Mailing address
650 Charles E Young Dr S RM 52-257
Los Angeles, CA 90095-1690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20230706002110 | AZ | Order and Referring Only - Internal Medicine | 4688033871 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1275237034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 CHARLES E YOUNG DR S RM 52-257",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 CHARLES E YOUNG DR S RM 52-257",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951690",
"telephone_number": "310-895-3307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURUPPU",
"first_name": "DEANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-28",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CA",
"license": "20A25002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.