KEERTI GURUSHANTHAIAH (NPI# 1043257066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043257066 |
| Entity Type | Individual |
| Full Name | KEERTI GURUSHANTHAIAH |
| Credential | MD |
| Practice Address |
9339 Genesee Ave Suite 220 San Diego CA 92121-2121 |
| Practice Telephone | 8584557520 |
| Practice Fax Number | 8585541312 |
| Mailing Telephone | 8584557520 |
| Mailing Fax Number | 8585541312 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
A68300 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FEDERAL TAX ID | 330627190 | 01 |
| Street Address |
9339 GENESEE AVE SUITE 220 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285608331 | Nancy V. Canty | Nurse Practitioner | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2006-02-15 |
| 1881062438 | Leysin Fletcher | Physician Assistant | 9339 Genesee Ave, Suite 300, San Diego, CA 92121-2119 | 2015-09-11 |
| 1306212550 | Ucsd Physicians Network - Specialty Care | Obstetrics & Gynecology | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2015-08-11 |
| 1861874885 | Douglas Wu | Specialist | 9339 Genesee Ave, Suite 300, San Diego, CA 92121-2119 | 2015-06-25 |
| 1578942447 | Synergy Specialists Medical Group | Specialist | 9339 Genesee Ave, Suite 150, San Diego, CA 92121-2119 | 2015-05-26 |
| 1932494945 | Sarah Anne Wilkinson | Obstetrics & Gynecology | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2011-06-17 |
| 1164756532 | Ann Marie Navarra | Clinical Nurse Specialist | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2009-10-01 |
| 1205160686 | Vanda R Lops | Nurse Practitioner | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2009-10-01 |
| 1710211867 | Lauren A Robertson | Obstetrics & Gynecology | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2121 | 2009-09-22 |
| 1982833232 | Joanna Camille Nicholson | Physician Assistant | 9339 Genesee Ave, Plaza 39, San Diego, CA 92121-2119 | 2009-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
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| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274660 | Koe Medical Consulting, Inc. | Obstetrics & Gynecology | 5680 Trinidad Way, San Diego, CA 92114-5310 | 2017-02-18 |
| 1518404441 | Women's Health Care Research Corporation | Obstetrics & Gynecology | 3750 Convoy St Ste 311, San Diego, CA 92111-3741 | 2017-01-30 |
| 1750434403 | Integrative Medicine Associates, PC | Obstetrics & Gynecology | 2850 6th Ave Ste 412, San Diego, CA 92103-6315 | 2007-01-18 |
| 1124124730 | Parvin Mani, Inc | Obstetrics & Gynecology | 5555 Reservoir Dr Ste 208, San Diego, CA 92120-5187 | 2006-09-15 |
| 1518925015 | Parvin Pam Mani | Obstetrics & Gynecology | 5555 Reservoir Dr, Ste 208, San Diego, CA 92120 | 2006-05-03 |
| 1467417956 | Lila L. Schmidt, M.d., Inc | Obstetrics & Gynecology | 4060 4th Ave., # 610, San Diego, CA 92103-2121 | 2006-04-19 |
| 1124010483 | William David Koltun | Obstetrics & Gynecology | 9040 Friars Rd, Suite 540, San Diego, CA 92108-5859 | 2005-08-22 |
| 1073516316 | Robin Carol Wedberg | Obstetrics & Gynecology | 5030 Camino De La Siesta, Ste 106, San Diego, CA 92108-3117 | 2005-05-31 |
| 1821382573 | Tammy Pham, M.d., Inc. | Obstetrics & Gynecology | 4060 Fourth Ave, Suite 610, San Diego, CA 92103-2116 | 2011-05-30 |
| 1306091186 | Joshua Cohen Md Inc | Obstetrics & Gynecology | 8010 Frost St, Suite 408, San Diego, CA 92123-2778 | 2008-11-20 |
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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.