DR. NALLINI GNANADESIGAN


Address: 7150 Tampa Ave, Reseda, CA 91335-3700
Phone: 8187574447

DR. NALLINI GNANADESIGAN (NPI# 1467480020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467480020
Entity Type Individual
Full Name DR. NALLINI GNANADESIGAN
Credential M.D.
Practice Address 7150 Tampa Ave
Reseda
CA 91335-3700
Mailing Address 4322 Vanalden Ave
Tarzana
CA 91356-5520
Practice Telephone 8187574447
Enumeration Date 2006-06-30
Last Update Date 2010-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
C42560 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA PPIN #1 WC42560B 01
CA DEA # BN4318300 01
CA PPIN #2 WC42560C 01
CA CA LICENSE # C42560 01

Office Location

Street Address 7150 TAMPA AVE
City RESEDA
State CA
Zip Code 91335-3700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417950163 Grancell Village of The Los Angeles Jewish Home for The Aging Nursing Facility/Intermediate Care Facility 7150 Tampa Ave, Reseda, CA 91335-3700 2005-05-24
1710594643 Rachel Kamalei Stone Pharmacist 7150 Tampa Ave, Reseda, CA 91335-3700 2020-09-24
1487296422 Carol Jean Owen Psychologist 7150 Tampa Ave, Reseda, CA 91335-3700 2019-10-10
1699247379 Jaime Levy Rothstein Massage Therapist 7150 Tampa Ave, Reseda, CA 91335-3700 2018-12-19
1881186153 Steven Schwartz Social Worker 7150 Tampa Ave, Reseda, CA 91335-3700 2018-06-03
1962862110 Los Angeles Jewish Home Ipa Internal Medicine 7150 Tampa Ave, Reseda, CA 91335-3700 2016-03-01
1760847800 Ravid Avraham M.d., Inc. Physical Medicine & Rehabilitation 7150 Tampa Ave, Reseda, CA 91335-3700 2015-12-16
1942643713 Sean Jamison Boucher Pharmacist 7150 Tampa Ave, Reseda, CA 91335-3700 2013-04-11
1114287778 Brandman Centers for Senior Care, Inc PACE Provider Organization 7150 Tampa Ave, Reseda, CA 91335-3700 2012-05-16
1538338793 Grancell Village of The Los Angeles Jewish Home for The Aging Psychiatric Hospital 7150 Tampa Ave, Reseda, CA 91335-3700 2008-02-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356968754 Thomas Allen Hambright Massage Therapist 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 2020-07-01
1558912014 Harriet Ann Bickel Technician 18006 Hatton St., Reseda, CA 91335 2019-09-26
1528627106 Topanga Hospice Care, Inc. Hospice Care, Community Based 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 2019-06-07
1881174043 Aludra Inc. Hospice Care, Community Based 18325 Sherman Way, Suite A, Reseda, CA 91335 2018-08-17
1417437658 Buonora Development, Inc Physical Therapist 19325 Sherman Way, Reseda, CA 91335 2018-08-16
1770073793 Deanna Marie Niekamp Counselor 7232 Canby Ave. #4,5,6, Reseda, CA 91335 2018-05-15
1013423383 Bassa Logistic Inc Non-emergency Medical Transport (VAN) 19537 Valerio Street, Reseda, CA 91335 2017-12-21
1093237919 Belinda Reser Counselor 7101 Baird St, Reseda, CA 91335 2017-07-12
1720500028 Hermine Karapetyan Hearing Instrument Specialist 19367 Victory Blvd., Suite 14, Reseda, CA 91335 2017-07-09
1902352461 Baird Group Home Residential Treatment Facility, Emotionally Disturbed Children 7701 Baird Avenue, Reseda, CA 91335 2016-08-25
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932130861 Rick Smith Internal Medicine 7150 Tampa Ave, Reseda, CA 91335-3700 2006-07-06

Providers in the same taxonomy and state

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1972065704 Joseph A Habis Md Internal Medicine 359 Bel Marin Keys Blvd Ste 22, Novato, CA 94949-5637 2019-04-01
1801363858 Hgrt Medical Group Inc Internal Medicine 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 2018-10-29
1972081412 Ahra Cho, M.d., Inc Internal Medicine 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 2018-08-06
1013401975 Robert H Moon Md, Inc Internal Medicine 181 Rea Ave, El Cajon, CA 92020-3985 2018-06-14
1821587585 Aost Healthcare Services Internal Medicine 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 2018-05-08
1396233185 Caroline Petrossian Internal Medicine 1880 Century Park East Suite 711, Century City, CA 90067 2018-04-26
1558868927 Gps Physician Group of California PC Internal Medicine American River Center, 3900 Garfield Ave, Carmichael, CA 95608 2018-04-11
1427588417 Vivacitas Medical Group PC Internal Medicine 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190 2017-06-13
1144616590 Lindsey Merrihew Haddock Internal Medicine 4150 Clement St Bldg 1306b, San Francisco, CA 94121 2015-04-13
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Competitor

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City RESEDA
Zip Code 91335

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Dataset Information

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.

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