Parvathi Tiruviluamala M.D. a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A79302 Issued in CA

Legal business name

PARVATHI TIRUVILUAMALA M.D. A PROFESSIONAL CORPORATION

Practice address

5555 Reservoir Dr
201
San Diego, CA 92120-5134

Phone

(619) 286-8804

Fax

(619) 286-2344

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Parvathi Tiruviluamala

Title

President,Owner

Phone

(619) 417-4535

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1407997737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920740628",
            "telephone_number": "619-417-4535",
            "fax_number": "619-286-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR",
            "address_2": "201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205134",
            "telephone_number": "619-286-8804",
            "fax_number": "619-286-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARVATHI TIRUVILUAMALA M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "TIRUVILUAMALA",
        "authorized_official_first_name": "PARVATHI",
        "authorized_official_title_or_position": "PRESIDENT,OWNER",
        "authorized_official_telephone_number": "619-417-4535",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A79302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A793020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Partnership of Joseph E Allen MD & Russell B Hays MD
• Brian L. Partridge, M.D.
• Sarah Lynn Partridge, PT, DPT
• Deborah J Parum
• Parvathi Pokala DDS Incorporated
• Shahida Parveen, M.D
• Parvin Mani, Inc
• Amir R Parvini, D.C.
• Parysa Parvizian, PH.D.
• Michelle Banez Pasag, MFTI

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.