DR. MYTHILI NAGARAJ (NPI# 1225122674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225122674 |
| Entity Type | Individual |
| Full Name | DR. MYTHILI NAGARAJ |
| Credential | M.D. |
| Practice Address |
1651 Avenida Selva Fullerton CA 92833-1559 |
| Mailing Address |
5931 Stanley Ave Carmichael CA 95608-3846 |
| Practice Telephone | 7149054072 |
| Mailing Telephone | 9164814389 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C52265 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 36300 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
1651 AVENIDA SELVA |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1134574171 | Monica Jeanne Arnell | Internal Medicine | 2200 Jose Way, Fullerton, CA 92835-3303 | 2016-04-27 |
| 1144515099 | Rajiv Ishwarlal Bhavsar, M.d., A Medical Corporation | Internal Medicine | 1321 N Harbor Blvd Ste 302, Fullerton, CA 92835-4131 | 2011-06-17 |
| 1699952820 | Naureen Tareen | Internal Medicine | 831 W Las Palmas Dr, Fullerton, CA 92835-1439 | 2008-01-30 |
| 1003091539 | Kiho Woo | Internal Medicine | 101 E. Valencia Dr., Fullerton, CA 92835-3809 | 2008-01-03 |
| 1245431956 | Jane Woo Quon | Internal Medicine | 3006 Birchwood Ct, Fullerton, CA 92835-4317 | 2007-05-30 |
| 1104965383 | Jimmy K Liao | Internal Medicine | 2557 Pearblossom St, Fullerton, CA 92835-4407 | 2007-02-05 |
| 1477628840 | Arun Dahyabhai Patel | Internal Medicine | 907 W Wilshire Ave, Fullerton, CA 92832 | 2006-11-21 |
| 1912080094 | Eleanor Marie Kelly | Internal Medicine | 241 Imperial Hwy, Suite 350, Fullerton, CA 92835-1055 | 2006-10-23 |
| 1902909534 | Wilbur Chew | Internal Medicine | 872 Arbolado Drive, Fullerton, CA 92835-1810 | 2006-09-07 |
| 1982616124 | Pavani Naini Reddy | Internal Medicine | 220 Laguna Rd Ste 2, Fullerton, CA 92835-2523 | 2006-08-13 |
| Find all providers in FULLERTON | ||||
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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.