AJAY VENKATESH SRIVASTAVA (NPI# 1194734087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194734087 |
| Entity Type | Individual |
| Full Name | AJAY VENKATESH SRIVASTAVA |
| Credential | M.D. |
| Practice Address |
9898 Genesee Ave La Jolla CA 92037-1205 |
| Mailing Address |
10790 Rancho Bernardo Rd San Diego CA 92127-5705 |
| Practice Telephone | 8588245073 |
| Practice Fax Number | 8589643117 |
| Mailing Telephone | 8588245073 |
| Mailing Fax Number | 8589643117 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A121488 | CA | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
A121488 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
A121488 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649429853 | Ajay Kumar Srivastava | Orthopaedic Surgery | 4466 W Bristol Rd, Family Orthopedic Associates, Flint, MI 48507-3170 | 2008-09-11 |
| 1922110451 | Ajay Srivastava | Internal Medicine | 234 Goodman Street, Cincinnati, OH 45219 | 2006-08-31 |
| Street Address |
9898 GENESEE AVE |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116223 | William Gang Wang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2005-07-01 |
| 1639715725 | Elisabeth Sarah Lottman | Speech-Language Pathologist | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-23 |
| 1730740036 | Adriana Yvette Southworth | Registered Nurse | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2019-06-26 |
| 1205333010 | Chelsea Marie Rouleau | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2018-04-09 |
| 1477067981 | Eneh-lieh J Ancheta | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2017-11-20 |
| 1780102640 | Marissa Munsayac | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2017-08-31 |
| 1306374012 | Paige Read Squiller | Physician Assistant | 9898 Genesee Ave, Amp 410, La Jolla, CA 92130 | 2017-05-24 |
| 1972054534 | Scripps Health | Clinic/Center | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2016-10-19 |
| 1073061248 | Paddy Barrett | Internal Medicine | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2016-09-16 |
| 1225487069 | Jacinta Tran | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037 | 2016-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346515442 | Kimberly N Hong | Internal Medicine | 9434 Medical Center Dr, La Jolla, CA 92037-1337 | 2012-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162949 | Faculty Physicians and Surgeons of Llusm | Internal Medicine | 197 E Caroline St, San Bernardino, CA 92408 | 2017-09-05 |
| 1285722686 | Anita Dominique Szady | Internal Medicine | 2 Bon Air Rd Ste 100, Larkspur, CA 94939-1144 | 2006-10-11 |
| 1073161329 | Andrea Boettcher | Internal Medicine | 7901 Frost St, San Diego, CA 92123-2701 | 2019-08-29 |
| 1124681887 | Victoria L Bazanos | Internal Medicine | 11234 Anderson St, Schuman Pavilion Sp-1617, Loma Linda, CA 92354 | 2019-04-18 |
| 1720346240 | Behram Parvez Mody | Internal Medicine | 333 City Blvd W Ste 400, Orange, CA 92868-2994 | 2012-05-03 |
| 1063701068 | Nicholas William Wettersten | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103 | 2011-03-31 |
| 1417186438 | Nancy Luo | Internal Medicine | 3939 J St Ste 230, Sacramento, CA 95819 | 2009-07-12 |
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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.