Individual provider Active NPI

Purab Chawla Viswanath, MD

  • Orthopaedic Hand Surgery Physician
  • Tarzana, CA
National Provider Identifier
1336374958
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A137256 Issued in CA
Practice address
5525 Etiwanda Ave Ste 228
Tarzana, CA 91356-6157
Phone
(310) 295-6317
Fax
(833) 907-0098
NPI assigned
May 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X A137256 CA Primary
Orthopaedic Surgery Physician 207X00000X A137256 CA

Addresses

Primary practice location

5525 Etiwanda Ave Ste 228
Tarzana, CA 91356-6157

Mailing address

5525 Etiwanda Ave Ste 228
Tarzana, CA 91356-6157
Phone (310) 295-6317

Other practice location 1

1612 W Burbank Blvd
Burbank, CA 91506-1311
Phone (818) 578-3152

Other practice location 2

23310 Cinema Dr Ste 104
Valencia, CA 91355-1613
Phone (818) 578-3152

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151105000531 CA Practitioner - Orthopedic Surgery 6406074756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

Laguna Niguel, CA 92677

11550 Indian Hills Rd
Suite 381
Mission Hills, CA 91345-1252
Phone (818) 361-0917

11550 Indian HLS
Suite 300
Mission Hills, CA 91345-1203
Phone (818) 403-6337

1220 La Venta Dr
Suite 202
Westlake Village, CA 91361-3750
Phone (805) 449-0066

18133 Ventura Blvd
Suite 302
Tarzana, CA 91356-3645
Phone (818) 466-7770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A137256CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Orthopaedic Surgery CurrentSince May 13, 2019 Accepting new patients
Providence Medical Institute Orthopaedic Surgery Current Accepting new patients
Providence Medical Institute Orthopaedic Surgery CurrentSince May 13, 2019 Accepting new patients
Foundation Hand Surgery Institute a Professional Corporation Hand Surgery Past Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

11550 Indian Hills Rd
Ste 381
Mission Hills, CA 91345
Phone (818) 361-5069

11550 Indian Hls
Ste 300
Mission Hills, CA 91345
Phone (818) 365-5755

18133 Ventura Blvd
Ste 302
Tarzana, CA 91356
Phone (818) 264-3344

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

26357 McBean Pkwy
Ste 255
Valencia, CA 91355
Phone (661) 222-2600

7301 Medical Ctr
Ste 400
West Hills, CA 91307
Phone (818) 264-3344

1220 La Venta Dr
Ste 202
Westlake Vlg, CA 91361
Phone (805) 449-0066

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1336374958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 228",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566157",
            "telephone_number": "310-295-6317",
            "fax_number": "833-907-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 228",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566157",
            "telephone_number": "310-295-6317",
            "fax_number": "833-907-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 W Burbank Blvd",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915061311",
            "country_code": "US",
            "telephone_number": "818-578-3152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23310 Cinema Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913551613",
            "country_code": "US",
            "telephone_number": "818-578-3152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISWANATH",
        "first_name": "PURAB",
        "middle_name": "CHAWLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A137256",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A137256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.