Organization Active NPI

Radhika Tulpule MD Inc.

  • Internal Medicine Physician
  • Covina, CA
National Provider Identifier
1336196864
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A45187 Issued in CA
Legal business name
RADHIKA TULPULE MD INC.
Practice address
110 N 4TH Ave
Covina, CA 91723-1825
Phone
(626) 859-6400
Fax
(626) 859-6433
NPI assigned
May 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Mrs. Radhika Tulpule, M.D.NPI 1801829437
Title
Ceo
Phone
(626) 967-4469

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A45187 CA Primary

Addresses

Primary practice location

110 N 4TH Ave
Covina, CA 91723-1825

Mailing address

110 N 4TH Ave
Covina, CA 91723-1825
Phone (626) 859-6400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060330000407 CA Part B Supplier - Clinic/Group Practice 2668480799 Receives reassigned benefits from 3 practitioners
Practice locations: Covina, CA

National Provider Directory

National Provider Directory

Locations

301 W Huntington Dr
Ste 327
Arcadia, CA 91007
Phone (626) 447-8129

110 N 4th Ave
Covina, CA 91723
Phone (626) 859-6400

Practitioners & affiliated clinicians

Practitioners 3

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": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1336196864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 4TH AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231825",
            "telephone_number": "626-859-6400",
            "fax_number": "626-859-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 4TH AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231825",
            "telephone_number": "626-859-6400",
            "fax_number": "626-859-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHIKA TULPULE MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "TULPULE",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-967-4469",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A45187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.