Organization Active NPI

Vrijesh S Tantuwaya, MD, Inc

  • Neurological Surgery Physician
  • Poway, CA
National Provider Identifier
1285793125
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A79530 Issued in CA
Legal business name
VRIJESH S TANTUWAYA, MD, INC
Practice address
13029 Pomerado Rd Ste B
Poway, CA 92064-4246
Phone
(858) 312-5016
Fax
(858) 312-5018
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Vrijesh Shantanu TantuwayaNPI 1235134966
Title
President / Neurological Surgeon
Phone
(858) 312-5016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X A79530 CA Primary

Addresses

Primary practice location

13029 Pomerado Rd Ste B
Poway, CA 92064-4246

Mailing address

PO Box 26904
San Diego, CA 92196-0904
Phone (858) 312-5016

Other practice location 1

620 Alabama St Unit B
Redlands, CA 92373-8059
Phone (858) 312-5016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041108000618 CA Part B Supplier - Clinic/Group Practice 0840253100 Receives reassigned benefits from 1 practitioner
Practice locations: Chino, CA; Corona, CA; Murrieta, CA; Poway, CA; Temecula, CA

National Provider Directory

National Provider Directory

Locations

7339 El Cajon Blvd
Ste C
La Mesa, CA 91942
Phone (619) 644-1877

13029 Pomerado Rd
Ste B
Poway, CA 92064
Phone (858) 312-5016

620 Alabama St
Unit B
Redlands, CA 92373
Phone (858) 312-5016

31720 US Highway 79
Ste 200
Temecula, CA 92592
Phone (951) 302-1576

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1285793125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26904",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921960904",
            "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": "13029 POMERADO RD STE B",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644246",
            "telephone_number": "858-312-5016",
            "fax_number": "858-312-5018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Alabama St Unit B",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923738059",
            "country_code": "US",
            "telephone_number": "858-312-5016",
            "fax_number": "858-312-5018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VRIJESH S TANTUWAYA, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "TANTUWAYA",
        "authorized_official_first_name": "VRIJESH",
        "authorized_official_middle_name": "SHANTANU",
        "authorized_official_title_or_position": "PRESIDENT / NEUROLOGICAL SURGEON",
        "authorized_official_telephone_number": "858-312-5016"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A79530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.