SUNIL PUSHPAKUMARA PERERA (NPI# 1417039371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417039371 |
| Entity Type | Individual |
| Full Name | SUNIL PUSHPAKUMARA PERERA |
| Other Name | SUNIL P PERERA |
| Credential | M.D. |
| Practice Address |
935 Reserve Dr Roseville CA 95678-1340 |
| Practice Telephone | 9167827758 |
| Practice Fax Number | 9167827770 |
| Mailing Telephone | 9167827758 |
| Mailing Fax Number | 9167827770 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
A30538 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ7673Z | 05 |
| Street Address |
935 RESERVE DR |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612980 | Allergy Medical Group of The North Area Inc. | Allergy & Immunology | 935 Reserve Dr, Roseville, CA 95678-1340 | 2005-07-13 |
| 1891343745 | Lauren Alyssa Bale | Nurse Practitioner | 935 Reserve Dr, Roseville, CA 95678-1340 | 2019-09-03 |
| 1467946020 | Sonia Camacho De Guzman | Nurse Practitioner | 935 Reserve Dr, Roseville, CA 95678 | 2018-06-18 |
| 1164665311 | Jessil Jose | Nurse Practitioner | 935 Reserve Dr, Roseville, CA 95678-1340 | 2009-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316958085 | Travis Aaron Miller | Allergy & Immunology | 1528 Eureka Rd, Suite 102, Roseville, CA 95661-3047 | 2006-08-10 |
| 1265502793 | Terrance T Chang Md Inc | Allergy & Immunology | 8723 Sierra College Blvd, Suite 220, Roseville, CA 95661-5920 | 2006-11-09 |
| 1912919689 | Myrza R Perez | Allergy & Immunology | 1451 Secret Ravine Pkwy, Suite 150, Roseville, CA 95661-4051 | 2006-08-12 |
| 1255315206 | Arvind Kumar | Allergy & Immunology | 1001 Riverside Ave, Roseville, CA 95678-5134 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366078743 | Rhonda J. Myers, M.d. | Allergy & Immunology | 4902 Irvine Center Dr Ste 108, Irvine, CA 92604-3334 | 2020-03-18 |
| 1063903201 | Nisha Ann Roy | Allergy & Immunology | 1923 Coffee Rd Ste 12, Modesto, CA 95355-2708 | 2018-05-23 |
| 1619472024 | Professional Diagnostic Solutions Inc | Allergy & Immunology | 16940 Chatsworth St Unit 303, Granada Hills, CA 91344-5864 | 2018-03-27 |
| 1528570678 | Dossier Health Management | Allergy & Immunology | 138 N Brand Blvd Ste 200-106, Glendale, CA 91203-4614 | 2017-10-30 |
| 1467805358 | James Patrick Kemp | Allergy & Immunology | 15904 Cuyamaca Forest Rd, Julian, CA 92036-9641 | 2016-07-15 |
| 1528426053 | Allergy Asthma Sinusitis Medical Clinic Inc Divyang Trivedi | Allergy & Immunology | 11832 Rosecrans Ave # 200, Norwalk, CA 90650-4107 | 2016-01-28 |
| 1932564879 | Tri Valley Allergy | Allergy & Immunology | 1038 Murrieta Blvd Ste B, Livermore, CA 94550-4151 | 2015-12-18 |
| 1881074748 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1853 Lander Ave, Turlock, CA 95380-6240 | 2015-06-05 |
| 1265812119 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1923 Coffee Road, 12c, Modesto, CA 95355-2708 | 2015-06-05 |
| 1972983815 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1415 Badger Flat Rd, A, Los Banos, CA 93635-8600 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
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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.