NPIMap

Individual provider Active NPI

Giri Reddy Tummuru, M.D.

  • Internal Medicine Physician
  • Yorba Linda, CA
National Provider Identifier
1467625277
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A112908 Issued in CA
Practice address
4077 Cortona CT
Yorba Linda, CA 92886-8630
Phone
(770) 330-5007
NPI assigned
Apr 12, 2008
Last updated
Nov 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 002543 GA
Internal Medicine Physician 207R00000X A112908 CA Primary
Hospitalist Physician 208M00000X A112908 CA

Addresses

Primary practice location

4077 Cortona CT
Yorba Linda, CA 92886-8630

Mailing address

4077 Cortona CT
Yorba Linda, CA 92886-8630
Phone (770) 330-5007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130204000451 CA Practitioner - Internal Medicine 8729271929 Reassigns benefits to 2 organizations
Practice locations: Yorba Linda, CA; Ontario, CA; Montclair, CA; Chino, CA; Claremont, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1880 N Orange Grove Ave
Pomona, CA 91767-3006
Phone (909) 630-7158

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002543GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Dec 1, 2012 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Dec 1, 2012 Accepting new patients
Ae Urgent Care - Van Nuys Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Redmond Hospital Services LLC Past Accepting new patients
Indian Mounds Inpatient Services LLC Hospitalist Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist Past Accepting new patients

Locations

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Claremont Heights Post AcuteClaremont, CA, CCN 055344 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2022
Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1467625277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 CORTONA CT",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928868630",
            "telephone_number": "770-330-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 CORTONA CT",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928868630",
            "telephone_number": "770-330-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMURU",
        "first_name": "GIRI",
        "middle_name": "REDDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-12",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "002543",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A112908",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A112908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.