Individual provider Active NPI

Raghu Nanda Tiperneni, MD

  • Pulmonary Disease Physician
  • San Jacinto, CA
National Provider Identifier
1689293086
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A208805 Issued in CA
Practice address
341 E Main St Ste 100
San Jacinto, CA 92583-4206
Phone
(951) 654-5590
NPI assigned
Apr 15, 2020
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A208805 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A208805 CA
Pulmonary Disease Physician 207RP1001X A208805 CA Primary

Addresses

Primary practice location

341 E Main St Ste 100
San Jacinto, CA 92583-4206

Mailing address

341 E Main St Ste 100
San Jacinto, CA 92583-4206
Phone (951) 654-5590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7 Slack CT
Bridgewater, NJ 08807-5775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A208805CAMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1689293086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E MAIN ST STE 100",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834206",
            "telephone_number": "951-654-5590",
            "fax_number": "951-654-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E MAIN ST STE 100",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834206",
            "telephone_number": "951-654-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPERNENI",
        "first_name": "RAGHU",
        "middle_name": "NANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A208805",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A208805",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A208805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.