Sitaraman Jyotheeswaran MD Facp a Medical Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SITARAMAN JYOTHEESWARAN MD FACP A MEDICAL CORPORATION

Practice address

520 N Prospect Ave
Suite # 304
Redondo Beach, CA 90277-3041

Phone

(310) 798-2006

Fax

(310) 379-6199

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Sitaraman Jyotheeswaran, M.D.NPI 1952469272

Title

Owner

Phone

(310) 798-2006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Sitaraman Jyotheeswaran, M.D.

  • Gastroenterology Physician
  • Anaheim, CA
  • NPI 1952469272
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1346536968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVENUE",
            "address_2": "SUITE # 304",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-798-2006",
            "fax_number": "310-379-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE",
            "address_2": "SUITE # 304",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773041",
            "telephone_number": "310-798-2006",
            "fax_number": "310-379-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITARAMAN JYOTHEESWARAN MD FACP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "JYOTHEESWARAN",
        "authorized_official_first_name": "SITARAMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-798-2006",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Simonyan
• Victoria Nicole Simplis
• Simply Speech Language Pathology Corporation
• Shavontae Simpson
• Shetonya Sinclair
• David I. Sitzer, PH.D.
• SJC Transit
• Natalie Justina Skokandic, OD
• Monica Anne Slivar, O.D.
• Matthew Slocum

• Gastroenterology Physician in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.