DR. VRIJESH SHANTANU TANTUWAYA (NPI# 1235134966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235134966 |
| Entity Type | Individual |
| Full Name | DR. VRIJESH SHANTANU TANTUWAYA |
| Credential | MD |
| Practice Address |
12630 Monte Vista Rd Suite 105 Poway CA 92064-2530 |
| Practice Telephone | 8583125016 |
| Practice Fax Number | 8583125018 |
| Mailing Telephone | 8583125016 |
| Mailing Fax Number | 8583125018 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2013-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | A79530 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICAL LICENSE | 45688 | 01 |
| Street Address |
12630 MONTE VISTA RD SUITE 105 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811331440 | Jennifer Haney | Social Worker | 12630 Monte Vista Rd, Suite 202, Poway, CA 92064-2530 | 2013-04-25 |
| 1821371683 | For Doctors Consulting Group | Durable Medical Equipment & Medical Supplies | 12630 Monte Vista Rd, Suite 210, Poway, CA 92064-2530 | 2011-09-27 |
| 1982991337 | Consensus Md Inc | Neurological Surgery | 12630 Monte Vista Rd, Suite 105, Poway, CA 92064-2530 | 2011-07-06 |
| 1205149804 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 12630 Monte Vista Rd, Ste 101, Poway, CA 92064-2530 | 2010-07-23 |
| 1700119880 | Helena Jayasuriya | Social Worker | 12630 Monte Vista Rd, Suite 202, Poway, CA 92064-2530 | 2009-09-08 |
| 1336382019 | Jennifer Huyen Macewan | Otolaryngology | 12630 Monte Vista Rd, Suite 206, Poway, CA 92064-2530 | 2009-04-11 |
| 1750521241 | Jill Cottel Md, In. | Non-Pharmacy Dispensing Site | 12630 Monte Vista Rd, 209, Poway, CA 92064-2530 | 2009-02-24 |
| 1972749372 | Merton Suzuki Md Inc | Clinic/Center | 12630 Monte Vista Rd, Suite 108, Poway, CA 92064-2530 | 2009-01-06 |
| 1467625210 | James F Marino M D Inc | Orthopaedic Surgery | 12630 Monte Vista Rd, Suite 105, Poway, CA 92064-2530 | 2008-04-11 |
| 1588843486 | William W Winternitz Jr Md Inc | Specialist | 12630 Monte Vista Rd, Ste 105, Poway, CA 92064-2526 | 2007-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982991337 | Consensus Md Inc | Neurological Surgery | 12630 Monte Vista Rd, Suite 105, Poway, CA 92064-2530 | 2011-07-06 |
| 1285793125 | Vrijesh S Tantuwaya, Md, Inc | Neurological Surgery | 12630 Monte Vista Rd, Suite 105, Poway, CA 92064-2530 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144477 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 35400 Bob Hope Dr Ste 110, Rancho Mirage, CA 92270-1772 | 2020-11-04 |
| 1013524123 | Hubert Tsun-yin Lee | Neurological Surgery | 1201 Welch Road, Stanford, CA 94305-5327 | 2020-09-24 |
| 1811500267 | Chaparral Medical Group, Inc. | Neurological Surgery | 9120 Haven Ave Ste 201, Rancho Cucamonga, CA 91730-5413 | 2020-08-26 |
| 1982259461 | Mauricio Mandel Brigido | Neurological Surgery | 300 Pasteur Dr # R281, Stanford, CA 94305-2200 | 2019-08-01 |
| 1538713227 | Sylvain Palmer Md Inc | Neurological Surgery | 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691-6376 | 2019-07-31 |
| 1851945877 | X.sean Xin, Do Inc. | Neurological Surgery | 7230 Med Ctr Dr Ste 600, West Hills, CA 91307-4017 | 2019-07-29 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1598317711 | Newport Beach Neurosurgical Institute | Neurological Surgery | 1501 Superior Ave Ste 214b, Newport Beach, CA 92663-3600 | 2019-07-09 |
| 1609438761 | Py26 Neurosurgery, PC | Neurological Surgery | 120 S Spalding Dr Ste 305, Beverly Hills, CA 90212-1800 | 2019-06-28 |
| 1679133664 | Sequoia Neurosurgery, Inc. | Neurological Surgery | 306 N Conyer St Ste A, Visalia, CA 93291-4704 | 2019-06-20 |
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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.