Individual provider Active NPI

Sundera V Ariathurai, M.D.

  • Radiation Oncology Physician
  • Glendale, CA
National Provider Identifier
1750356176
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A33601 Issued in CA
Practice address
720 E Colorado St
Glendale, CA 91205-1712
Phone
(818) 500-5885
Fax
(818) 241-2946
NPI assigned
Feb 20, 2006
Last updated
Sep 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A33601 CA Primary

Addresses

Primary practice location

720 E Colorado St
Glendale, CA 91205-1712

Mailing address

P.O. Box 10668
Glendale, CA 91209-3668
Phone (818) 241-2901

Other identifiers 1

IdentifierTypeStateIssuer
00A336010MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A33601CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sundera V. Ariathurai, M.D. Radiation Oncology PastSince Jan 1, 1990 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Dignity Health Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1750356176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 10668",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912093668",
            "telephone_number": "818-241-2901",
            "fax_number": "818-241-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051712",
            "telephone_number": "818-500-5885",
            "fax_number": "818-241-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIATHURAI",
        "first_name": "SUNDERA",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A33601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A336010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.