DR. ETTAYAPURUM V SUNDERRAJAN (NPI# 1679511315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679511315 |
| Entity Type | Individual |
| Full Name | DR. ETTAYAPURUM V SUNDERRAJAN |
| Credential | M.D. |
| Practice Address |
11180 Warner Ave Suite 253 Fountain Valley CA 92708-7501 |
| Practice Telephone | 7149792825 |
| Practice Fax Number | 7149792862 |
| Mailing Telephone | 7149792825 |
| Mailing Fax Number | 7149792862 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A42385 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS OF CALIFORNIA | 330387285 | 01 |
| CA | UNITED HEALTHCARE/PACIFICARE | 330387285 | 01 |
| CA | CAL-OPTIMA | GR0053330 | 01 |
| CA | AETNA | 330387825 | 01 |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ33736Z | 01 |
| Street Address |
11180 WARNER AVE SUITE 253 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566998 | Haresh S. Jhangiani | Specialist | 11180 Warner Ave, Ste 351, Fountain Valley, CA 92708-7516 | 2005-05-31 |
| 1679012637 | Uci Cardiology- Fountain Valley | Clinic/Center | 11180 Warner Ave, Suite 461, Fountain Valley, CA 92708-7501 | 2017-02-22 |
| 1417494717 | Andy Luu | Nurse Practitioner | 11180 Warner Ave, Suite 351, Fountain Valley, CA 92708-7501 | 2017-01-24 |
| 1912352774 | Gaytri Manek Md Inc | Internal Medicine | 11180 Warner Ave, Ste 271, Fountain Valley, CA 92708-7501 | 2016-04-29 |
| 1265894430 | Retina Institute of California | Ophthalmology | 11180 Warner Ave, 163, Fountain Valley, CA 92708-7501 | 2016-03-25 |
| 1629436514 | Krystal Pham Ob/gyn Inc | Obstetrics & Gynecology | 11180 Warner Ave, Fountain Valley, CA 92708-7501 | 2016-02-05 |
| 1194107581 | Connect Hearing, Inc. | Audiologist | 11180 Warner Ave, Ste 263, Fountain Valley, CA 92708-7501 | 2015-06-23 |
| 1730519778 | Robert Horner | Physician Assistant | 11180 Warner Ave, Suite 167, Fountain Valley, CA 92708-7501 | 2013-11-12 |
| 1710231535 | Nguyen Do Duy Md Inc | Surgery | 11180 Warner Ave, Suite 161, Fountain Valley, CA 92708-7501 | 2012-10-31 |
| 1023378981 | Regenerative Optimum Health Inc | Internal Medicine | 11180 Warner Ave, Suite 257, Fountain Valley, CA 92708-7501 | 2012-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1851352678 | John Saito | Internal Medicine | 17150 Euclid St, Ste 316, Fountain Valley, CA 92708-4092 | 2006-03-31 |
| 1174080295 | Pulmonarius Asclepius Inc | Internal Medicine | 9900 Talbert Ave Ste 100, Fountain Valley, CA 92708-5153 | 2019-02-25 |
| 1326503202 | Pulmonarius Asclepius Inc | Internal Medicine | 9900 Talbert Ave Ste 100, Fountain Valley, CA 92708-5153 | 2019-02-05 |
| 1962820126 | First Choice Physician Partners | Internal Medicine | 11190 Warner Ave, Suite 403, Fountain Valley, CA 92708-4019 | 2014-04-03 |
| 1982022141 | First Choice Physician Partners | Internal Medicine | 17150 Euclid St, Suite 218, Fountain Valley, CA 92708-4092 | 2014-04-03 |
| 1508288291 | Pulmonary & Critical Care Group of Orange County Lp | Internal Medicine | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2014-01-14 |
| 1659630622 | Thomas J Asciuto Md Corporation | Internal Medicine | 18111 Brookhurst St, Suite 4600, Fountain Valley, CA 92708-6728 | 2012-05-11 |
| 1922387711 | Pulmonary and Sleep Disorder Consultants, Inc | Internal Medicine | 17150 Euclid St Ste 316, Fountain Valley, CA 92708-4092 | 2011-08-10 |
| 1407161326 | Fountain Valley Hospitalist Medical Group | Internal Medicine | 11770 Warner Ave, Suite# 208, Fountain Valley, CA 92708-2663 | 2010-08-16 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.