NPIMap

Individual provider Active NPI

Kaushik Ivaturi

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1669733275
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A134126 Issued in CA
Practice address
4001 J St
Sacramento, CA 95819-3626
Phone
(916) 453-4966
Fax
(916) 966-3189
NPI assigned
May 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A134126 CA Primary

Addresses

Primary practice location

4001 J St
Sacramento, CA 95819-3626

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810001139 CA Practitioner - NephrologyPractitioner - Internal Medicine 7214241900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

2888 Long Beach Blvd
Suite 125
Long Beach, CA 90806-7500
Phone (562) 933-3136

Hospital & facility affiliations

  • USRC Long Beach Dialysis Dialysis facility, Long Beach, CA, CCN 052840
  • Fresenius Kidney Care Long Beach Memorial Dialysis facility, Long Beach, CA, CCN 752542
  • Bio-Medical Long Beach Community Hemodialysis Unit Dialysis facility, Long Beach, CA, CCN 052523
  • St Mary Medical Center Hospital, Long Beach, CA, CCN 050191
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A134126CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine CurrentSince Dec 29, 2025 Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince Dec 29, 2025 Accepting new patients
Prohealth Partners, a Medical Group Internal Medicine Current Accepting new patients
St. Mary Medical Center Past Accepting new patients
Ampla Health Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Rideout Memorial Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Prohealth Partners a Medical Group Inc Internal Medicine Past Accepting new patients
Dignity Health Past Accepting new patients
CHLB, LLC Past Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

2888 Long Beach Blvd
Ste 215
Long Beach, CA 90806
Phone (562) 290-8115

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

2888 Long Beach Blvd
Ste 235
Long Beach, CA 90806
Phone (562) 424-4447

2888 Long Beach Blvd
Ste 125
Long Beach, CA 90806
Phone (562) 933-3136

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

20911 Earl St
Ste 180
Torrance, CA 90503
Phone (310) 370-4660

4201 Torrance Blvd
Ste 350
Torrance, CA 90503
Phone (310) 540-5494

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kivaturi631692@direct.memorialcare.org

Organizations & group practices 16

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.

View all 16

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1669733275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193626",
            "telephone_number": "916-453-4966",
            "fax_number": "916-966-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVATURI",
        "first_name": "KAUSHIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A134126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.