Individual provider Active NPI

Ambooj Tiwari, MD

  • Vascular Neurology Physician
  • Mission Hills, CA
National Provider Identifier
1609198779
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
276012-1 Issued in NY
Practice address
15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone
(818) 365-8051
Fax
(818) 897-4701
NPI assigned
Feb 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 25MA09637400 NJ
Vascular & Interventional Radiology Physician 2085R0204X 276012-1 NY
Vascular & Interventional Radiology Physician 2085R0204X 25MA09637400 NJ
Vascular Neurology Physician 2084V0102X 276012-1 NY Primary

Addresses

Primary practice location

15031 Rinaldi St
Mission Hills, CA 91345-1207

Mailing address

1511 3Rd Ave Ste 1000
Seattle, WA 98101-3637
Phone (408) 508-6218

Other practice location 1

2200 Northern Blvd
Suite 207
Greenvale, NY 11548-1219
Phone (516) 466-1029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141013001461 NY Practitioner - Neurology 3577783620 Reassigns benefits to 3 organizations
I20161021000195 NJ Practitioner - Interventional RadiologyPractitioner - Neurology 3577783620 Reassigns benefits to 1 organization
I20180827001056 CA Practitioner - Neurosurgery 3577783620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuranimus P CGroup PAC ID 8527437318, 4 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

111 N Market St
Suite 300
San Jose, CA 95113-1116
Phone (805) 608-3600

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

Hospital & facility affiliations

  • South Brooklyn Health Hospital, Brooklyn, NY, CCN 330196
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • El Camino Health Hospital, Mountain View, CA, CCN 050308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09637400NJMDVascular Neurology Physician
276012-1NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Nov 11, 2024 Accepting new patients
Neuranimus P C Vascular & Interventional Radiology CurrentSince Oct 4, 2023 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince May 4, 2024 Accepting new patients
Jeffrey Farkas MD LLC Vascular & Interventional Radiology CurrentSince Jul 31, 2014 Accepting new patients
County of Santa Clara Past Accepting new patients
Dignity Health Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

135 N Jackson Ave
Ste 202
San Jose, CA 95116
Phone (408) 508-6218

111 N Market St
Ste 300
San Jose, CA 95113
Phone (408) 825-4527

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

777 Terrace Ave
Ste 401
Hasbrouck Heights, NJ 07604

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

2601 Ocean Pkwy
Rm 3N17
Brooklyn, NY 11235
Phone (718) 616-4554

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2200 Northern Blvd
Ste 207
Greenvale, NY 11548
Phone (516) 466-1029

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1511 3rd Ave
Ste 1000
Seattle, WA 98101
Phone (805) 608-3600

Networks

  • Healthfirst Medicare Network H9678
  • BSC 65 PLUS INDIVIDUAL MAPD
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: atiwari231156@santaclaravalley.direct-ci.net
  • Direct secure messaging: atiwari128409@nyumc.direct-ci.com
  • Direct secure messaging: atiwari1289377@nychhc.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1609198779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 3RD AVE STE 1000",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013637",
            "telephone_number": "408-508-6218",
            "fax_number": "408-351-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15031 RINALDI ST",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451207",
            "telephone_number": "818-365-8051",
            "fax_number": "818-897-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Northern Blvd",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Greenvale",
            "state": "NY",
            "postal_code": "115481219",
            "country_code": "US",
            "telephone_number": "516-466-1029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIWARI",
        "first_name": "AMBOOJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NJ",
            "license": "25MA09637400",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "276012-1",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA09637400",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NY",
            "license": "276012-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.