Active NPI
Surender Vuthoori MD Inc
- Cardiovascular Disease Physician
- Rancho Mirage, CA
National Provider Identifier
1407924996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A33804
- Legal business name
- SURENDER VUTHOORI MD INC
- Practice address
- 35280 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270 - Phone
- (760) 770-1632
- Fax
- (760) 346-2471
- NPI assigned
- Dec 1, 2006
- Last updated
- May 18, 2009
- Organization subpart
- Yes
- Parent organization
- SURENDER VUTHOORI MD INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Surender Vuthoori, MD
- Title
- President
- Phone
- (760) 770-1632
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A33804 | CA | Primary |
Addresses
Primary practice location
35280 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Mailing address
35280 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 770-1632
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A338041 | Medicaid | CA | |
| 199003100 | Other | CA | US LAB USDEPARTMENT OF LABOUR |
| 199003100 | Other | CA | ACSTA ACS DEPARTMENT OF LABOUR |
| 913622300 | Other | CA | MED FL MEDI CAL FLORIDA |
| 00A338040 | Other | CA | BLUESHIELD |
| ZZZ91620Z | Other | CA | MEDICARE ID TYPE |
| 756061629 | Other | CA | MEDICARE RAIL ROAD |
National Provider Directory
National Provider Directory- Part of
- Surender Vuthoori MD Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Joshua Tree, CA
- NPI 1437297298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242604800000",
"number": "1407924996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35280 BOB HOPE DR",
"address_2": "STE 100",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "760-770-1632",
"fax_number": "760-346-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35280 BOB HOPE DR",
"address_2": "STE 100",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "760-770-1632",
"fax_number": "760-346-2471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURENDER VUTHOORI MD INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SURENDER VUTHOORI MD INC",
"enumeration_date": "2006-12-01",
"last_updated": "2009-05-18",
"status": "A",
"authorized_official_last_name": "VUTHOORI",
"authorized_official_first_name": "SURENDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-770-1632",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A33804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A338041",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US LAB USDEPARTMENT OF LABOUR",
"identifier": "199003100",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACSTA ACS DEPARTMENT OF LABOUR",
"identifier": "199003100",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED FL MEDI CAL FLORIDA",
"identifier": "913622300",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD",
"identifier": "00A338040",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID TYPE",
"identifier": "ZZZ91620Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "756061629",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
- Montee A Suleiman, MD
- Katherine Josephine Sullivan, PT
- Pamela Sue Sullivan, GNP
- Starr Sullivan, LMFT
- Superior, Inc (Advanced Hearing Systems)
- Sienna Jean Sutton
- Suzanne M Quardt MD Inc (Dr Q Plastic Surgery)
- Suzanne M Quardt, MD, Inc (Dr Q Plastic Surgery)
- Rajesh Sunil Swamidass, DDS
- John Raymond Sweeney, P.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.