Individual provider Active NPI

Surinder Paul Puri, M.D.

  • Personal Emergency Response Attendant
  • Northridge, CA
National Provider Identifier
1477689651
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
A40165 Issued in CA
Practice address
9346 Corbin Ave
Av
Northridge, CA 91324-2405
Phone
(818) 349-9966
NPI assigned
Feb 24, 2007
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X A40165 CA Primary

Addresses

Primary practice location

9346 Corbin Ave
Av
Northridge, CA 91324-2405

Mailing address

23160 Hatteras St
Woodland Hills, CA 91367-4237
Phone (818) 349-9966

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090708000532 CA Practitioner - Family Practice 4981756780 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40165CAMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Anvar Medical Group CurrentSince Dec 6, 2016 Accepting new patients
Valley Urgent Care Medical Group Inc PastSince Apr 1, 2009 Accepting new patients
Valley Urgent Care PastSince Apr 1, 2009 Accepting new patients

Locations

12021 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 348-1900

9335 Reseda Blvd
Ste 100
Northridge, CA 91324
Phone (818) 349-9966

9346 Corbin Ave
Northridge, CA 91324
Phone (818) 349-9966

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1477689651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23160 HATTERAS ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674237",
            "telephone_number": "818-349-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9346 CORBIN AVE",
            "address_2": "AV",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242405",
            "telephone_number": "818-349-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "SURINDER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "CA",
            "license": "A40165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.