DR. JYOTHI I TIRUMALASETTY (NPI# 1942257605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942257605 |
| Entity Type | Individual |
| Full Name | DR. JYOTHI I TIRUMALASETTY |
| Credential | MD |
| Practice Address |
1245 16th St Ste 303 Santa Monica CA 90404-1265 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3104814646 |
| Practice Fax Number | 3108997599 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | C164641 | CA | Allopathic & Osteopathic Physicians |
| N | 207K00000X | Allergy & Immunology | 036111350 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | C164641 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036111350 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CCS | 336072525 | 01 |
| IL | BCBS GROUP # | 01621679 | 01 |
| IL | STATE LICENSE | 036111350 | 01 |
| IL | DEA | BT8887765 | 01 |
| CA | DEA | BT8887765 | 01 |
| CA | STATE LICENSE | C164641 | 01 |
| Street Address |
1245 16TH ST STE 303 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-1265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871938951 | Samantha Rae Swain | Allergy & Immunology | 1245 16th St Ste 303, Santa Monica, CA 90404 | 2013-05-02 |
| 1013209568 | Lorraine Anderson | Allergy & Immunology | 1245 16th St Ste 303, Santa Monica, CA 90404-1265 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447376454 | Raffi Tachdjian | Allergy & Immunology | 1301 20th St Ste 380, Santa Monica, CA 90404 | 2007-03-21 |
| 1043247661 | Cathy Weiss Green | Allergy & Immunology | 1301 20th Street, Suite 220, Santa Monica, CA 90404-2080 | 2006-06-27 |
| 1871938951 | Samantha Rae Swain | Allergy & Immunology | 1245 16th St Ste 303, Santa Monica, CA 90404 | 2013-05-02 |
| 1013209568 | Lorraine Anderson | Allergy & Immunology | 1245 16th St Ste 303, Santa Monica, CA 90404-1265 | 2011-05-03 |
| 1457663882 | Mark Nachman Md A Proffesional Corporation | Allergy & Immunology | 1301 20th St, Suite 290, Santa Monica, CA 90404-2050 | 2010-07-14 |
| 1093891863 | Bernard Geller M D Allergy & Clinical Immunology | Allergy & Immunology | 1301 20th St, Suite 220, Santa Monica, CA 90404-2050 | 2006-10-27 |
| 1427132968 | Bernard David Geller | Allergy & Immunology | 1301 20th St, Suite 220, Santa Monica, CA 90404-2050 | 2006-10-24 |
| 1568484293 | Gary W. Gibbon | Allergy & Immunology | 2001 Santa Monica Blvd, 660w, Santa Monica, CA 90404-2102 | 2006-07-24 |
| 1962435412 | Alan Szeftel | Allergy & Immunology | 2001 Santa Monica Blvd, 660w, Santa Monica, CA 90404-2102 | 2006-07-08 |
| 1932158722 | Stacy Eui-jung Lee | Allergy & Immunology | 2001 Santa Monica Blvd, Suite 660w, Santa Monica, CA 90404-2102 | 2006-05-09 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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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.