Arudi L Prabhakar, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A31627 Issued in CA

Practice address

6136 Lake Murray Blvd
La Mesa, CA 91942-2502

Phone

(619) 303-5500

Fax

(619) 303-5595

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 38)

Interoperability endpoints

• Direct secure messaging: arudi.prabhakar.1@23708.direct.athenahealth.com

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.

• Baromedical Physician Associates Medical Group

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Santa Ana, CA
  • NPI 1164569463
  Medicare reassignment NPD
• Crescent Wound Care Inc

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1841920501
  Medicare reassignment NPD
• Mismo Dermatology Group Apc

  • Dermatology Physician
  • San Diego, CA
  • NPI 1306405998
  Medicare reassignment NPD
• Robert Marriott Medical Corp

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938
  Medicare reassignment NPD
• San Diego Dermatology Partners Apc

  • Dermatology Physician
  • La Mesa, CA
  • NPI 1396304986
  Medicare reassignment NPD
• SNF Wound Care

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1114393311
  Medicare reassignment NPD
• Crescent Wound Care Inc

  • Family Medicine Physician
  • The Dalles, OR
  • NPI 1942177548
  NPD
• Partners Urgent Care-Rancho

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1184920480
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1396710075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18231 IRVINE BLVD",
            "address_2": "STE 204",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803432",
            "telephone_number": "714-389-5700",
            "fax_number": "714-389-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 LAKE MURRAY BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422502",
            "telephone_number": "619-303-5500",
            "fax_number": "619-303-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHAKAR",
        "first_name": "ARUDI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A31627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Portillo, IMF
• Tania Portillo, MD
• Tom J Pousti, MD
• Sean Thomas Powell, M.D.
• Venu Prabaker, M.D.
• Namratha Prabhu, M.D.
• Eric Stafford Prante, PT
• Prasad Gonavarum D.D.S., Professional Corporation
• Allyson M Prather, MFT
• Susan Patricia Press, DMD

• Specialist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.

Verify at the official NPI Registry.