Active NPI
Kamini Pruthi, M.D.
- General Practice Physician
- Glendora, CA
National Provider Identifier
1730350638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A38889
- Practice address
- 415 W Route 66
Suite # 201
Glendora, CA 91740-4335 - Phone
- (626) 963-0900
- NPI assigned
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A38889 | CA | Primary |
Addresses
Primary practice location
415 W Route 66
Suite # 201
Glendora, CA 91740-4335
Mailing address
255 S Glendora Ave
P.O. Box 2088
Glendora, CA 91740-9000
Phone (626) 966-9134
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 |
|---|---|---|---|
| A38889 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1730350638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 S GLENDORA AVE",
"address_2": "P.O. BOX 2088",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917409000",
"telephone_number": "626-966-9134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W ROUTE 66",
"address_2": "SUITE # 201",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404335",
"telephone_number": "626-963-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUTHI",
"first_name": "KAMINI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A38889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.