DR. RAVICHANDRA REDDY MUTYALA (NPI# 1881941003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881941003 |
| Entity Type | Individual |
| Full Name | DR. RAVICHANDRA REDDY MUTYALA |
| Credential | M.D |
| Practice Address |
2185 Citracado Pkwy Cep America Escondido CA 92029-4159 |
| Practice Telephone | 4422814047 |
| Practice Fax Number | 7604800194 |
| Mailing Telephone | 4422814047 |
| Mailing Fax Number | 7604800194 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2016-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A127221 | CA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | A127221 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2185 CITRACADO PKWY CEP AMERICA |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92029-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033197082 | Tariq M Dastagir | Internal Medicine | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2006-01-09 |
| 1801497284 | Kelly Rackham | Family Medicine | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2020-11-03 |
| 1770057325 | Ryan Michael Mccarthy | Physical Therapist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2019-01-16 |
| 1679055057 | Jenna Emily Gilbert | Physician Assistant | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-09-03 |
| 1669962353 | Jacinda Nim | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-05-17 |
| 1982194981 | Brandon Bailey | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-05-15 |
| 1053817304 | Tamar Lietzow | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-04-04 |
| 1710483094 | Karen Gonzales | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-04-04 |
| 1679088678 | Zachary Porter Buchanan | Physical Therapist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2017-12-12 |
| 1316456734 | Kimberly Rose Davis Md Inc Apmc | Clinic/Center | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2017-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
| 1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
| 1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| 1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
| 1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
| 1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
| 1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
| 1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
| 1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
| Find all providers in zip 92029 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235526617 | Michelle Faierman | Hospitalist | 2185 Citracado Pkwy, Escondido, CA 92029 | 2015-04-23 |
| 1033297601 | Patrick C. Freyne | Hospitalist | 460 N Elm St, Escondido, CA 92025-3002 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830813 | Ikigai Physician Group Inc | Hospitalist | 1523 Main St, Fortuna, CA 95540-2430 | 2020-04-22 |
| 1760012959 | Mylea N Wiley Md Inc. | Hospitalist | 6246 N 1st St. Ste 101, Fresno, CA 93710-5480 | 2020-01-16 |
| 1972152072 | The Hospitalist Group, LLC | Hospitalist | 5150 E Pacific Coast Hwy Ste 500, Long Beach, CA 90804-3328 | 2019-09-10 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1871025957 | Saba Arshad | Hospitalist | 30924 Granger Ave, Union City, CA 94587-1621 | 2017-03-29 |
| 1124481098 | Clari Nguyen | Hospitalist | 9455 Clairemont Mesa Blvd # Ca92123, San Diego, CA 92123-1297 | 2016-03-30 |
| 1427410539 | Vrs Enterprises LLC | Hospitalist | 2088 Westminster Dr, Riverside, CA 92506-5526 | 2016-03-28 |
| 1912378324 | Huntington Specialist & Nursing Corporation | Hospitalist | 517 S Myrtle Ave, 101, Monrovia, CA 91016-2825 | 2015-10-12 |
| 1639551435 | Jaafar Al-dahwi | Hospitalist | 847 Lemieux Ln, Clovis, CA 93619-5702 | 2015-06-29 |
| 1578959318 | Hospitalist Group of Montebello Inc | Hospitalist | 817 S Main St Ste D, Corona, CA 92882-3407 | 2015-04-08 |
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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.