Bharathi S Vayuvegula MD PHD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BHARATHI S VAYUVEGULA MD PHD INC

Practice address

1624 S Grand Ave
Glendora, CA 91740-5433

Phone

(626) 914-0174

Fax

(626) 914-2008

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bharathi S Vayuvegula, MD

Title

Owner

Phone

(626) 914-0174

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1801820857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405433",
            "telephone_number": "626-914-0174",
            "fax_number": "626-914-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405433",
            "telephone_number": "626-914-0174",
            "fax_number": "626-914-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHARATHI S VAYUVEGULA MD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "VAYUVEGULA",
        "authorized_official_first_name": "BHARATHI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-914-0174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W21346",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Lynn Bertolini, LMFT
• Nicole Rose Bessire-Taylor, MA, LMFT
• Monique Yvonne Bettancourt
• Eric A Bettelheim, O.D.
• Krishna Bhakta
• Nutan Bhaskar, MD
• Sasinee Jade Bhosai, NP
• Richard Mark Biebuyck, M.D.
• Billy P. Leon M.D. Inc.
• Biogenx Medical

• Family Medicine Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.