Organization Active NPI

Rajendra K. Tiwari, M.D., Professional Corporation

  • Neurological Surgery Physician
  • Glendale, CA
National Provider Identifier
1629128285
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A26099 Issued in CA
Legal business name
RAJENDRA K. TIWARI, M.D., PROFESSIONAL CORPORATION
Practice address
1500 S Central Ave
#314
Glendale, CA 91204-2573
Phone
(818) 244-5117
Fax
(818) 244-6957
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Dr. Rajendra K. Tiwari, M.D.
Title
President
Phone
(818) 244-5117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X A26099 CA Primary

Addresses

Primary practice location

1500 S Central Ave
#314
Glendale, CA 91204-2573

Mailing address

1500 S Central Ave
#314
Glendale, CA 91204-2573
Phone (818) 244-5117

Other identifiers 1

IdentifierTypeStateIssuer
00A260990MedicaidCA

National Provider Directory

National Provider Directory

Locations

1500 S Central Ave
Ste 314
Glendale, CA 91204
Phone (818) 241-2106

435 Arden Ave
Ste 380
Glendale, CA 91203
Phone (818) 240-5241

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1629128285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "#314",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042573",
            "telephone_number": "818-244-5117",
            "fax_number": "818-244-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "#314",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042573",
            "telephone_number": "818-244-5117",
            "fax_number": "818-244-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJENDRA K. TIWARI, M.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "TIWARI",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-244-5117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A26099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A260990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.