Active NPI
Ambooj Tiwari, MD
- Vascular Neurology Physician
- Mission Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 276012-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Santa Clara Valley Medical Center
- El Camino Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09637400 | NJ | MD | Vascular Neurology Physician |
| 276012-1 | NY | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Neuranimus P C | Vascular & Interventional Radiology | Current | Accepting new patients |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| Jeffrey Farkas MD LLC | Vascular & Interventional Radiology | Current | 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
- atiwari231156@santaclaravalley.direct-ci.net
- atiwari128409@nyumc.direct-ci.com
- 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.
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Vascular & Interventional Radiology Physician
- East Hills, NY
- NPI 1114267929
NJ
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.