Individual provider Active NPI

Ritu Jain Viswanath, MD

  • Internal Medicine Physician
  • Tarzana, CA
National Provider Identifier
1497029078
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A125466 Issued in CA
Practice address
5525 Etiwanda Ave Ste 228
Tarzana, CA 91356-6157
Phone
(310) 571-5015
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME120655 FL
Internal Medicine Physician 207R00000X A125466 CA Primary

Addresses

Primary practice location

5525 Etiwanda Ave Ste 228
Tarzana, CA 91356-6157

Mailing address

10573 W Pico Blvd # 822
Los Angeles, CA 90064-2333
Phone (310) 571-5015

Other practice location 1

1 Tampa General Cir
F170
Tampa, FL 33606-3571
Phone (813) 844-3397

Other practice location 2

10573 W Pico Blvd # 822
Los Angeles, CA 90064-2333
Phone (310) 571-5015

Other identifiers 1

IdentifierTypeStateIssuer
14W11OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Ritu Jain Former name

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
I20131112001003 CA Practitioner - Internal Medicine 0446486906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

6041 Cadillac Ave
Los Angeles, CA 90034-1702
Phone (800) 954-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125466CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 14, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 30, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 30, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Current Accepting new patients
Superior Hospitalist Medical Group Inc Internal Medicine CurrentSince Sep 8, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 14, 2022 Accepting new patients
University Medical Service Association Inc Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

11600 Indian Hills Rd
Mission Hills, CA 91345
Phone (818) 781-7097

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1497029078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10573 W PICO BLVD # 822",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642333",
            "telephone_number": "310-571-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 228",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566157",
            "telephone_number": "310-571-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Tampa General Cir",
            "address_2": "F170",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063571",
            "country_code": "US",
            "telephone_number": "813-844-3397",
            "fax_number": "813-844-1934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10573 W Pico Blvd # 822",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900642333",
            "country_code": "US",
            "telephone_number": "310-571-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISWANATH",
        "first_name": "RITU",
        "middle_name": "JAIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME120655",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A125466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14W11",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITU",
            "last_name": "JAIN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.