SURENDER VUTHOORI (NPI# 1437297298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437297298 |
| Entity Type | Individual |
| Full Name | SURENDER VUTHOORI |
| Credential | MD |
| Practice Address |
63532 29 Palms Hwy Ste A Joshua Tree CA 92252 |
| Mailing Address |
Po Box 168 6353229 Palms Hwy Ste A Joshua Tree CA 92252 |
| Practice Telephone | 7603668491 |
| Practice Fax Number | 7603462471 |
| Mailing Telephone | 7603668491 |
| Mailing Fax Number | 7603462471 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2009-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A33804 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A338040 | 01 |
| CA | RAILROAD MEDICARE NUMBER | 756061629 | 01 |
| CA | 00A338040 | 05 | |
| CA | 00A338041 | 05 | |
| CA | BLUE CROSS | 953529571 | 01 |
| Street Address |
63532 29 PALMS HWY STE A |
| City | JOSHUA TREE |
| State | CA |
| Zip Code | 92252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073626503 | Surender Vuthoori Md Inc | Internal Medicine | 63532 29 Palms Hwy, #a, Joshua Tree, CA 92252 | 2006-08-17 |
| 1629392675 | Morongo Basin Ob/gyn Medical Group Inc | Obstetrics & Gynecology | 63532 29 Palms Hwy, Ste#d, Joshua Tree, CA 92252-0810 | 2010-03-19 |
| 1255511630 | Family Health Center of Joshua Tree Incorporated | Family Medicine | 63532 29 Palms Hwy, Ste C, Joshua Tree, CA 92252-0810 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609405992 | Micheline Helou | Nurse Practitioner | 63532 Twentynine Palms Highway, Joshua Tree, CA 92252 | 2020-04-07 |
| 1821558164 | Lisa Brown | Nurse Practitioner | 63532 29 Palms Hwy., Suite C, Joshua Tree, CA 92252 | 2019-03-22 |
| 1861990053 | Candice Amber Packard | Marriage & Family Therapist | 60805 29 Palms Hwy, Joshua Tree, CA 92252 | 2018-01-23 |
| 1194195529 | Jacob Edward Sanchez | Counselor | 60805 Twentynine Palms Hwy., Joshua Tree, CA 92252 | 2015-09-28 |
| 1023404357 | American Health Services LLC | Substance Abuse Rehabilitation Facility | 65675 Sullivan Rd., Joshua Tree, CA 92252 | 2015-04-14 |
| 1699940486 | Lee, Wee &baek. Dds. Inc | Clinic/Center | 61325 29palms Hwy.ste.a, Joshua Tree, CA 92252 | 2008-04-23 |
| 1447420690 | County of San Bernardino | Public Health or Welfare | 63532 29 Palms Highway, Suite D, Joshua Tree, CA 92252 | 2008-03-04 |
| 1861671679 | Lisa L Surace | Marriage & Family Therapist | 63532 Twentynine Palms Hwy, Suite C, Joshua Tree, CA 92252 | 2007-10-29 |
| 1821285271 | Morongo Basin Mental Health Services Ass., Inc | Substance Abuse Rehabilitation Facility | 65675 Sullivan Rd, Joshua Tree, CA 92252 | 2007-10-01 |
| 1295872067 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 60950 Sunburst, Joshua Tree, CA 92252 | 2007-01-31 |
| Find all providers in zip 92252 | ||||
| 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 |
|---|---|---|---|---|
| 1073626503 | Surender Vuthoori Md Inc | Internal Medicine | 63532 29 Palms Hwy, #a, Joshua Tree, CA 92252 | 2006-08-17 |
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| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
| City | JOSHUA TREE |
| Zip Code | 92252 |
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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.