POORNIMA B. RAO (NPI# 1639346851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639346851 |
| Entity Type | Individual |
| Full Name | POORNIMA B. RAO |
| Credential | M.D. |
| Practice Address |
209 Fair Oaks Ave South Pasadena CA 91030-1814 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051-0185 |
| Practice Telephone | 6263962900 |
| Mailing Telephone | 6267753514 |
| Mailing Fax Number | 6264083911 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A113359 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 35-082505-R | OH | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD433380 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102174600001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Duarte Rd, Duarte, CA 910103012 | 6267753200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154835486 | Poornima Rao | Physical Therapist | 1610 Chisholm Trl, Prosper, TX 75078-0929 | 2017-11-22 |
| 1831395359 | Poornima Rao | Internal Medicine | 12311 Perry Hwy, Wexford, PA 15090-8344 | 2007-06-22 |
| Street Address |
209 FAIR OAKS AVE |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578546388 | Helen K Chen | Specialist | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2005-11-25 |
| 1124502992 | Hannah Mora | Physician Assistant | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2018-09-18 |
| 1164963583 | City of Hope Medical Foundation | Anesthesiology | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2017-03-17 |
| 1750724928 | Joyce Liboro | Nurse Practitioner | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2013-04-08 |
| 1154684538 | Katharine Schulz-costello | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2012-06-20 |
| 1396034229 | Benjamin Louis Cahan | Radiology | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2011-03-31 |
| 1346560786 | Kelly Khai Li Yap | Internal Medicine | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2010-06-08 |
| 1053542100 | Aaron G Lewis | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2009-08-06 |
| 1417108358 | Rahul Jandial | Neurological Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2008-10-09 |
| 1073760815 | Amy Caton Polverini | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2008-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205830692 | Tiffany M. Jessee | Surgery | 1609 Pasasena Ave S, Suite 3m, South Pasadena, FL 33707 | 2005-06-13 |
| 1154684538 | Katharine Schulz-costello | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2012-06-20 |
| 1053542100 | Aaron G Lewis | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2009-08-06 |
| 1073760815 | Amy Caton Polverini | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2008-08-22 |
| 1336307735 | Loretta Erhunmwunsee | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2008-06-02 |
| 1952420978 | John M Clarke Md Pa | Surgery | 1609 Pasadena Ave S, #4c, South Pasadena, FL 33707-4565 | 2007-03-29 |
| 1447379466 | Jill Tornyos Parker | Surgery | 1615 Pasadena Ave S, Suite 330, South Pasadena, FL 33707-4516 | 2007-03-29 |
| 1023117538 | Ernest C Rehnke Md Facs Pllc | Surgery | 1615 Pasadena Ave S, Suite 460, South Pasadena, FL 33707-4516 | 2006-09-21 |
| 1023110418 | John Mitchell Clarke | Surgery | 1615 Pasadena Ave S, Suite 330, South Pasadena, FL 33707-4516 | 2006-09-05 |
| 1245293760 | Stephen M Sentovich | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2006-04-07 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
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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.