Usha Ganesan MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

USHA GANESAN MD INC

Doing business as

Beyond The Reflection

Practice address

17541 Irvine Blvd Ste E
Tustin, CA 92780-3158

Phone

(949) 229-5964

Fax

(949) 567-8647

NPI assigned

Apr 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Usha Ganesan, MDNPI 1659391134

Title

Ceo/Owner

Phone

(949) 229-5964

Specialties & licenses 1

Addresses

Other names 1

• Beyond The Reflection Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Usha V. Ganesan, M.D.

  • Pediatrics Physician
  • Tustin, CA
  • NPI 1659391134
  NPD Authorized official

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1740036045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17541 IRVINE BLVD STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803158",
            "telephone_number": "949-229-5964",
            "fax_number": "949-567-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17541 IRVINE BLVD STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803158",
            "telephone_number": "949-229-5964",
            "fax_number": "949-567-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USHA GANESAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "GANESAN",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "949-229-5964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond The Reflection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.