DR. ADITYA SUDNAGUNTA PRASAD (NPI# 1154580074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154580074 |
| Entity Type | Individual |
| Full Name | DR. ADITYA SUDNAGUNTA PRASAD |
| Credential | M.D. |
| Practice Address |
3828 Schaufele Ave Ste 200 Long Beach CA 90808-1793 |
| Mailing Address |
17360 Brookhurst St Attn: Credentialing Department Fountain Valley CA 92708-3720 |
| Practice Telephone | 6572418990 |
| Practice Fax Number | 7146654664 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2019-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A103484 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
48210 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
A103484 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3828 SCHAUFELE AVE STE 200 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90808-1793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154315919 | David Mark Shavelle | Specialist | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2005-09-08 |
| 1942723994 | Yumi Mendez-ishizaki | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2017-07-21 |
| 1851786156 | Van Quoc Pham | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808 | 2015-04-02 |
| 1124431374 | Deborah Karm | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808 | 2014-06-05 |
| 1992116388 | Briana Livingston | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808 | 2014-05-19 |
| 1487065215 | Shelly Dutt | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2014-05-14 |
| 1447516513 | Joshua Snodgrass | Family Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2012-04-03 |
| 1275837205 | Jimmy Johannes | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2011-01-05 |
| 1891012860 | Christopher Yee | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2010-04-29 |
| 1861719486 | Thomas Jiang | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2010-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
| 1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
| 1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
| 1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
| 1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
| 1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
| 1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
| 1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
| 1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
| 1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
| Find all providers in zip 90808 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457440083 | Emmanuel Constantine Vasilomanolakis | Internal Medicine | 1760 Termino Avenue, Suite 314, Long Beach, CA 90804 | 2006-10-12 |
| 1245324201 | James Allen Jengo | Internal Medicine | 1045 Atlantic Ave Ste 611, Long Beach, CA 90813-3414 | 2006-10-03 |
| 1407947393 | Amrit Singh | Internal Medicine | 6489 E Surrey Dr, Long Beach, CA 90815-4744 | 2006-09-27 |
| 1528166105 | Minh Ngoc Nguyen | Internal Medicine | 411 E Pacific Coast Hwy, Long Beach, CA 90806-6218 | 2006-09-20 |
| 1477584191 | Rex Jay Winters | Internal Medicine | 2898 Linden Avenue, Long Beach, CA 90806 | 2006-07-05 |
| 1205863701 | Winfried Waider | Internal Medicine | 2898 Linden Ave, Long Beach, CA 90806 | 2006-06-28 |
| 1205889144 | Regional Physicians Medical Group Inc | Internal Medicine | 1974 Santa Fe Ave, Long Beach, CA 90810-4064 | 2006-05-19 |
| 1821058124 | Lee B Weitzman | Internal Medicine | 325 W Park Ave, Long Beach, NY 11561-3223 | 2006-03-23 |
| 1700854270 | Jeffrey P Schaffer | Internal Medicine | 760 E Park Ave, Long Beach, NY 11561-2605 | 2006-03-10 |
| 1629071063 | Paul Stanley Greenberg | Internal Medicine | 6531 E Mantova St, Long Beach, CA 90815-4661 | 2005-05-31 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90808 |
Please comment or provide details below to improve the information on DR. ADITYA SUDNAGUNTA PRASAD.
| 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.