Sumavamsi Tiriveedhi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11531 Issued in CA

Practice address

9301 Tampa Ave
Northridge Fashion Center #62
Northridge, CA 91324-2503

Phone

(818) 885-7300

Fax

(818) 709-2292

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• County of Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment Care Compare group NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1346258720
  NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1831240969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 LOS FELIZ BLVD APT 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272255",
            "telephone_number": "323-660-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 TAMPA AVE",
            "address_2": "NORTHRIDGE FASHION CENTER #62",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242503",
            "telephone_number": "818-885-7300",
            "fax_number": "818-709-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRIVEEDHI",
        "first_name": "SUMAVAMSI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Lorrell Thurston, D.C.
• Jessica Thwaite, PA-C
• Tia Brisco, Licensed Marriage and Family Therapy, Inc.
• Silvina Timpanaro
• Erika Tinsley
• Agavni Tishchyan
• Jennifer VI-Van To, PHARM.D.
• Jonathan Edilson Tobar Morales, M.S.
• Jennifer Tobon
• Lisa Tockman

• Optometrist in Northridge, CA
• Providers in Northridge, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.