Active NPI
Sravana Jyothi Vellaturi
- Dentist
- Gilroy, CA
National Provider Identifier
1700498722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105241
- Practice address
- 780 1St St
Gilroy, CA 95020-4972 - Phone
- (408) 796-3110
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 105241 | CA | Primary |
Addresses
Primary practice location
780 1St St
Gilroy, CA 95020-4972
Mailing address
39224 Guardino Dr Apt 113
Fremont, CA 94538-3018
Phone (270) 792-6395
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1700498722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39224 GUARDINO DR APT 113",
"city": "FREMONT",
"state": "CA",
"postal_code": "945383018",
"telephone_number": "270-792-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 1ST ST",
"city": "GILROY",
"state": "CA",
"postal_code": "950204972",
"telephone_number": "408-796-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELLATURI",
"first_name": "SRAVANA JYOTHI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "105241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.