SRUTHI DOMALAPALLY (NPI# 1033671748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033671748 |
| Entity Type | Individual |
| Full Name | SRUTHI DOMALAPALLY |
| Practice Address |
65 N 14th St San Jose CA 95112-6207 |
| Mailing Address |
99 Vista Montana Apt 3215 San Jose CA 95134-2377 |
| Practice Telephone | 4082791400 |
| Mailing Telephone | 2408122002 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95011027 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
65 N 14TH ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053358531 | Sydney C Choslovsky | Internal Medicine | 65 N 14th St, San Jose, CA 95112-6207 | 2006-06-01 |
| 1861048209 | Sudha Karupaiah Md PC | Internal Medicine | 65 N 14th St, San Jose, CA 95112-6207 | 2019-08-12 |
| 1023108719 | South Bay Respiratory Associates | Clinic/Center | 65 N 14th St, San Jose, CA 95112-6207 | 2006-10-13 |
| 1316984800 | Sudha Karupaiah | Internal Medicine | 65 N 14th St, San Jose, CA 95112-6207 | 2006-06-01 |
| 1194762682 | Donald A Wroblewski | Internal Medicine | 65 N 14th St, San Jose, CA 95112-6207 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734365 | La K Dinh | Nurse Practitioner | 749 Story Rd Ste 20, San Jose, CA 95122-2600 | 2020-03-05 |
| 1568012144 | Mandeep Kaur Gill | Nurse Practitioner | 4735 Hamilton Ave Ste 80, San Jose, CA 95130-1769 | 2019-09-16 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1770084246 | Amisha Oza | Nurse Practitioner | 1432 W San Carlos St Ste 10, San Jose, CA 95126-5409 | 2018-02-21 |
| 1376041459 | Karina Dempsey | Nurse Practitioner | 2264 Winepol Loop, San Jose, CA 95125-6636 | 2018-01-24 |
| 1316466139 | Melinda Fike Vertin | Nurse Practitioner | 970 Glenridge Dr., San Jose, CA 95136 | 2017-09-12 |
| 1548786049 | Thai Hang Thi Tran | Nurse Practitioner | 1680 E Capitol Expy Ste 10, San Jose, CA 95121-1839 | 2017-08-16 |
| 1356862163 | Natasha Michon Ruiz | Nurse Practitioner | 2516 Samaritan Dr Ste M, San Jose, CA 95124-4108 | 2017-06-30 |
| 1598203408 | Lea Revita Lopez | Nurse Practitioner | 751 S Bascom Ave Bldg Q, Otolaryngology/head and Neck Surgery, San Jose, CA 95128-2604 | 2017-02-10 |
| 1053719492 | Marie Cardine Preval | Nurse Practitioner | 4400 The Woods Dr Apt 2033, San Jose, CA 95136-3867 | 2014-12-17 |
| Find all providers in SAN JOSE | ||||
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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.