Individual provider Active NPI

Tanuja Puri, NP

  • Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1508023524
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13611 Issued in CA
Practice address
23451 Madison St Ste 290
Torrance, CA 90505-4737
Phone
(310) 375-1246
Fax
(310) 375-0590
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 572580 CA
Nurse Practitioner 363L00000X 13611 CA Primary

Addresses

Primary practice location

23451 Madison St Ste 290
Torrance, CA 90505-4737

Mailing address

23451 Madison St Ste 290
Torrance, CA 90505-4737
Phone (310) 375-1246

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120523000275 CA Practitioner - Nurse Practitioner 2860655297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Geffen School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Care ConsultantsGroup PAC ID 6608867304, 15 clinicians

Practice addresses (Care Compare)

23451 Madison St
Suite 290
Torrance, CA 90505-4737
Phone (310) 375-1246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Care Consultants Nurse Practitioner CurrentSince Feb 23, 2020 Accepting new patients

Locations

23441 Madison St
Ste 290
Torrance, CA 90505
Phone (310) 375-7172

23451 Madison St
Ste 290
Torrance, CA 90505
Phone (310) 375-1246

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1508023524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 290",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054737",
            "telephone_number": "310-375-1246",
            "fax_number": "310-375-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 290",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054737",
            "telephone_number": "310-375-1246",
            "fax_number": "310-375-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "TANUJA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "572580",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "13611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.