Active NPI
Tharun Nimmakayala, M.D.
- Student in an Organized Health Care Education/Training Program
- Lynwood, CA
National Provider Identifier
1780566844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3630 E. Imperial Highway, Lynwood Ca 90262
St. Francis Medical Center Program
Lynwood, CA 90262 - Phone
- (310) 900-8900
- NPI assigned
- Jul 21, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3630 E. Imperial Highway, Lynwood Ca 90262
St. Francis Medical Center Program
Lynwood, CA 90262
Mailing address
3630 E. Imperial Highway, Lynwood Ca 90262
St. Francis Medical Center Program
Lynwood, CA 90262
Phone (310) 900-8900
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1780566844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 E. IMPERIAL HIGHWAY, LYNWOOD CA 90262",
"address_2": "ST. FRANCIS MEDICAL CENTER PROGRAM",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "90262",
"telephone_number": "310-900-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 E. IMPERIAL HIGHWAY, LYNWOOD CA 90262",
"address_2": "ST. FRANCIS MEDICAL CENTER PROGRAM",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "90262",
"telephone_number": "310-900-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMMAKAYALA",
"first_name": "THARUN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.