Active NPI
Arvin Taneja, MD
- Surgery Physician
- Pasadena, CA
National Provider Identifier
1679790711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A69230
- Practice address
- 333 S Arroyo Pkwy
201
Pasadena, CA 91105-2515 - Phone
- (626) 844-0555
- Fax
- (626) 844-0018
- NPI assigned
- Apr 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A69230 | CA | Primary |
Addresses
Primary practice location
333 S Arroyo Pkwy
201
Pasadena, CA 91105-2515
Mailing address
333 S Arroyo Pkwy
201
Pasadena, CA 91105-2515
Phone (626) 844-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A69230 | Other | CA | CALIFORNIA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A69230 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1679790711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S ARROYO PKWY",
"address_2": "201",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052515",
"telephone_number": "626-844-0555",
"fax_number": "626-844-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S ARROYO PKWY",
"address_2": "201",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052515",
"telephone_number": "626-844-0555",
"fax_number": "626-844-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANEJA",
"first_name": "ARVIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A69230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE",
"identifier": "A69230",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.