SRIDHARA K S IYENGAR (NPI# 1710077136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710077136 |
| Entity Type | Individual |
| Full Name | SRIDHARA K S IYENGAR |
| Credential | MD |
| Practice Address |
11100 Warner Ave # 320 Fountain Valley CA 92708-7511 |
| Practice Telephone | 7145491294 |
| Practice Fax Number | 7145491296 |
| Mailing Telephone | 7145491294 |
| Mailing Fax Number | 7145491296 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2009-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | C42391 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C423910 | 05 |
| Street Address |
11100 WARNER AVE # 320 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-7511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083181 | Luc Sinh Nguyen | Internal Medicine | 11100 Warner Ave, Ste 350, Fountain Valley, CA 92708-7513 | 2005-06-14 |
| 1639617558 | Tim T. Lai, Md, Inc. | Psychiatry & Neurology | 11100 Warner Ave, Suite 152, Fountain Valley, CA 92708-7506 | 2017-02-11 |
| 1316495047 | Daniel Recalde Dpm, Inc | Podiatrist | 11100 Warner Ave, Suite 306, Fountain Valley, CA 92708-7506 | 2016-09-12 |
| 1811356470 | Platinum Medical Care A Medical Corporation | Pharmacy | 11100 Warner Ave, Suite 218, Fountain Valley, CA 92708-7506 | 2016-02-11 |
| 1053791095 | Platinum Medical Care | Internal Medicine | 11100 Warner Ave, Suite 218, Fountain Valley, CA 92708-7511 | 2015-06-04 |
| 1376922021 | Stewart Elvis Rendon, M.d., Inc. | Surgery | 11100 Warner Ave, Suite 258, Fountain Valley, CA 92708-7506 | 2015-05-28 |
| 1891118048 | Gregorio D. Abad-santos Inc | Pediatrics | 11100 Warner Ave, Suite 352, Fountain Valley, CA 92708-7506 | 2014-01-23 |
| 1093159063 | Select Healthcare System, A Medical Corporation | Health Maintenance Organization | 11100 Warner Ave, Suite 152, Fountain Valley, CA 92708-7506 | 2013-04-22 |
| 1962755702 | Michael Wan, M.d., Inc | Clinic/Center | 11100 Warner Ave, Suite 150b, Fountain Valley, CA 92708-7506 | 2012-10-17 |
| 1295094324 | Tim Tien Lai | Psychiatry & Neurology | 11100 Warner Ave, Ste 152, Fountain Valley, CA 92708-7510 | 2012-05-09 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487693735 | Charles Orlando Murphy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 18035 Brookhurst St Ste 1300, Fountain Valley, CA 92708-6738 | 2006-06-05 |
| 1871812727 | Rachel Aline Hargrove | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 18035 Brookhurst St Ste 1300, Fountain Valley, CA 92708-6738 | 2010-05-18 |
| 1912133166 | Sridhara K S Iyengar M D Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11100 Warner Ave, Ste 320, Fountain Valley, CA 92708-7506 | 2009-06-02 |
| 1831379270 | Reginald G M Abraham M D Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11100 Warner Ave, Suite 258, Fountain Valley, CA 92708-7506 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
| Find all providers with the same taxonomy | ||||
| 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.