Organization Active NPI

Nalluri Plastic Surgery and Laser Center PA

  • Plastic Surgery Physician
  • La Jolla, CA
National Provider Identifier
1518331537
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
NALLURI PLASTIC SURGERY AND LASER CENTER PA
Practice address
7300 Girard Ave Ste 211
La Jolla, CA 92037-5138
Phone
(858) 299-8999
Fax
(858) 225-1855
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Dr. Rajasekhar Nalluri, M.D.
Title
President
Phone
(858) 299-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

7300 Girard Ave Ste 211
La Jolla, CA 92037-5138

Mailing address

258 Coast Blvd
La Jolla, CA 92037-4609
Phone (858) 299-9999

National Provider Directory

National Provider Directory

Locations

2372 Morse Ave
#559
Irvine, CA 92614
Phone (949) 287-5555

7300 Girard Ave
Ste 211
La Jolla, CA 92037
Phone (858) 299-8999

1025 Prospect St
Ste 160
La Jolla, CA 92037

1110 Torrey Pines Rd
Ste M
La Jolla, CA 92037
Phone (858) 299-8999

3903 S 7th St
Ste 1E
Terre Haute, IN 47802
Phone (812) 234-1544

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1518331537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 COAST BLVD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374609",
            "telephone_number": "858-299-9999",
            "fax_number": "858-225-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 GIRARD AVE STE 211",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375138",
            "telephone_number": "858-299-8999",
            "fax_number": "858-225-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NALLURI PLASTIC SURGERY AND LASER CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "NALLURI",
        "authorized_official_first_name": "RAJASEKHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-299-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.