DR. POORNIMA VANGURI (NPI# 1144457375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144457375 |
| Entity Type | Individual |
| Full Name | DR. POORNIMA VANGURI |
| Credential | MD |
| Practice Address |
365 Lennon Ln Ste 290 Walnut Creek CA 94598-5915 |
| Practice Telephone | 9252749000 |
| Practice Fax Number | 9252749004 |
| Mailing Telephone | 9252749000 |
| Mailing Fax Number | 9252749004 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | ME 126670 | FL | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | A166381 | CA | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | ME126670 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | ME126670 | FL | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116021363 | VA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A166381 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 W Underwood St, Suite A, Orlando, FL 328061139 | 4074223790 | |
| 33 Bartlett St Ste 503, Lowell, MA 018521319 | 9784584300 |
| Street Address |
365 LENNON LN STE 290 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-5915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013169911 | Negar Monavar Salehomoum | Surgery | 365 Lennon Ln Ste 290, Walnut Creek, CA 94598-5915 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700070273 | Piyush Aggarwal | Colon & Rectal Surgery | 1479 Ygnacio Valley Rd # 200, Walnut Creek, CA 94598 | 2007-08-28 |
| 1790863884 | Samuel K. Liu | Colon & Rectal Surgery | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-02 |
| 1891870770 | Brian Joseph Mcguinness | Colon & Rectal Surgery | 365 Lennon Ln, Ste. 290, Walnut Creek, CA 94598-5910 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528437332 | George R. Moro | Colon & Rectal Surgery | 1140 W La Veta Ave Ste 830, Orange, CA 92868-4230 | 2015-09-22 |
| 1881087476 | Mark Paul Hachigian | Colon & Rectal Surgery | 16 Pinehurst Ln, Newport Beach, CA 92660-5229 | 2015-03-06 |
| 1982841250 | Central Valley Colon & Rectal Surgical Associates, Inc. | Colon & Rectal Surgery | 6121 N Thesta St Ste 202, Fresno, CA 93710-5294 | 2009-01-08 |
| 1972766970 | James Michael Conner | Colon & Rectal Surgery | 6450 Coyle Ave Ste 2, Carmichael, CA 95608-0313 | 2008-07-09 |
| 1063684850 | Marjun Philip Narciso Duldulao IIi | Colon & Rectal Surgery | 1450 San Pablo Street Suite 6200, Los Angeles, CA 90089-0112 | 2008-04-01 |
| 1144411414 | Theodore Coutsoftides | Colon & Rectal Surgery | 4061 Morning Star Dr, Huntington Beach, CA 92649-3009 | 2007-08-02 |
| 1023223849 | Robert Leroy Belt | Colon & Rectal Surgery | 31561 Table Rock Dr, Unit 108, Laguna Beach, CA 92651 | 2007-05-14 |
| 1063531176 | Chau V Dang Md Inc A Medical Corporation | Colon & Rectal Surgery | 5575 W Las Positas Blvd Ste 270, Pleasanton, CA 94588-5803 | 2007-03-28 |
| 1710029681 | Andrew Alan Shelton | Colon & Rectal Surgery | 875 Blake Wilbur Drive Clinic B, Stanford, CA 94305-5820 | 2007-02-13 |
| 1720139488 | Beth A Moore | Colon & Rectal Surgery | 8737 Beverly Blvd Ste 402, West Hollywood, CA 90048-1838 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.