DR. KAMINI PRUTHI (NPI# 1730350638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730350638 |
| Entity Type | Individual |
| Full Name | DR. KAMINI PRUTHI |
| Credential | M.D. |
| Practice Address |
415 W Route 66 Suite # 201 Glendora CA 91740-4335 |
| Mailing Address |
255 S Glendora Ave P.o. Box 2088 Glendora CA 91740-9000 |
| Practice Telephone | 6269630900 |
| Mailing Telephone | 6269669134 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A38889 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
415 W ROUTE 66 SUITE # 201 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770521734 | Richard Mark Biebuyck | Psychiatry & Neurology | 415 W Route 66, # 202, Glendora, CA 91740-4335 | 2006-06-03 |
| 1659821189 | Sambin Wang Do A Professional Corporation | Psychiatry & Neurology | 415 W Route 66, Suite 202, Glendora, CA 91740-4335 | 2016-10-07 |
| 1437604600 | Cesar Cruz, M.d. A Professional Medical Corporation | Psychiatry & Neurology | 415 W Route 66, Suite 202, Glendora, CA 91740-4335 | 2016-08-17 |
| 1801247721 | Cyrus Nasserian, M.d. Inc | Psychiatry & Neurology | 415 W Route 66, Suite 202, Glendora, CA 91740-4335 | 2016-06-22 |
| 1265899553 | Piedad Castrillon | Counselor | 415 W Route 66, Glendora, CA 91740-4335 | 2016-01-18 |
| 1659671071 | Rafik Girgis, Md Inc | Family Medicine | 415 W Route 66, Suite #201, Glendora, CA 91740-4335 | 2010-11-02 |
| 1861710469 | Sambin Wang | Psychiatry & Neurology | 415 W Route 66, 202, Glendora, CA 91740-4335 | 2010-05-07 |
| 1003056680 | Maggie J Ateia | Psychologist | 415 W Route 66, Suite 202, Glendora, CA 91740-4335 | 2009-02-23 |
| 1730348830 | Bassam Mouazzen M.d., P.C. | Internal Medicine | 415 W Route 66, Suite 101, Glendora, CA 91740-4335 | 2008-06-03 |
| 1215124771 | Taghrid Ragheb Sidhom | Psychiatry & Neurology | 415 W Route 66, 202, Glendora, CA 91740-4335 | 2007-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| 1902094550 | Onn T. Chan M.d., Inc. | General Practice | 1135 E Route 66 Ste 106, Glendora, CA 91740-3769 | 2007-10-09 |
| 1023044476 | Bharathi S Vayuvegula | General Practice | 1315 S Grand Ave Ste 150, Glendora, CA 91740-5052 | 2006-06-25 |
| 1689887622 | David Michael Reyes | General Practice | 657 E Arrow Hwy, Suite G, Glendora, CA 91740-6013 | 2007-05-07 |
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| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1851913917 | St Bishoy Medical Group | General Practice | 8545 Saturn St Apt 103, Los Angeles, CA 90035-3658 | 2020-05-12 |
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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.