Prenuvo of California P.C.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PRENUVO OF CALIFORNIA P.C.

Practice address

2727 El Camino Real
Redwood City, CA 94061-3910

Phone

(415) 218-9134

NPI assigned

Jun 1, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Rajpaul Attariwala, MD

Title

Cmo

Phone

(415) 218-9134

Specialties & licenses 1

Addresses

Other names 1

• PRENUVO Doing business as

Locations

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1629644596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 EL CAMINO REAL",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613910",
            "telephone_number": "415-218-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 EL CAMINO REAL",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613910",
            "telephone_number": "415-218-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENUVO OF CALIFORNIA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "ATTARIWALA",
        "authorized_official_first_name": "RAJPAUL",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "415-218-9134",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRENUVO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ravi Prasad, PH.D
• Giyarpuram Nadathur Prashant, M.D.
• Pravdin Medical Corporation
• Mary Pravdin, M.D.
• Russhelle Preeshl
• Marie Carol President, M.D
• Prevent Premature Aging Medical Associates
• Sandra Janet Preza
• Bethanie Price
• Shellie Price

• Radiology Clinic/Center in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.