LAKSHMA R TIYYAGURA (NPI# 1164527883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164527883 |
| Entity Type | Individual |
| Full Name | LAKSHMA R TIYYAGURA |
| Credential | MD |
| Practice Address |
420 W Acacia St # 18 Stockton CA 95203-2441 |
| Mailing Address |
Po Box 7939 Stockton CA 95267-0939 |
| Practice Telephone | 2094664685 |
| Practice Fax Number | 2094664695 |
| Mailing Telephone | 2094664685 |
| Mailing Fax Number | 2044664695 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2009-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A56285 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A562851 | 05 | |
| CA | 00A562850 | 05 |
| Street Address |
420 W ACACIA ST # 18 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95203-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401810 | Peter G Hickox | Specialist | 420 W Acacia St, Sutie 11, Stockton, CA 95203-2441 | 2005-07-21 |
| 1174880835 | Diego F Ferro Md Inc | Internal Medicine | 420 W Acacia St, Suite 1, Stockton, CA 95203-2441 | 2012-04-19 |
| 1174756027 | Bhagya Nakka, M.d., Inc. | Obstetrics & Gynecology | 420 W Acacia St, Suite 22, Stockton, CA 95203-2441 | 2009-08-26 |
| 1700027877 | Diego F. Ferro | Specialist | 420 W Acacia St, Suite 1, Stockton, CA 95203-2441 | 2009-03-18 |
| 1649321274 | Dameron Hospital Home Health | Home Health | 420 W Acacia St, Stockton, CA 95203-2441 | 2007-01-12 |
| 1073663431 | Dameron Hospital Association | Pharmacy | 420 W Acacia St, Stockton, CA 95203-2441 | 2007-01-10 |
| 1699857896 | Alfredoleonmdinc | Internal Medicine | 420 W Acacia St, #6, Stockton, CA 95203-2441 | 2006-10-19 |
| 1982700969 | Robert Charles Southmayd | Obstetrics & Gynecology | 420 W Acacia St, Suite 11, Stockton, CA 95203-2441 | 2006-09-16 |
| 1073619060 | Big Valley Ob-gyn Medical Center,inc. | Obstetrics & Gynecology | 420 W Acacia St, Suite 11, Stockton, CA 95203-2441 | 2006-09-16 |
| 1699780494 | Bhagya Nakka | Specialist | 420 W Acacia St, Suite 22, Stockton, CA 95203-2441 | 2006-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899349 | Sagrario Alva Chavez | Technician | Sagrario Chavez, 1248 West Park St., Stockton, CA 95203 | 2019-12-26 |
| 1538682810 | Kumars Transport | Non-emergency Medical Transport (VAN) | 1112 W Fremont St, Stockton, CA 95203 | 2017-07-19 |
| 1194251595 | Jesmond Ridge Medical Services A Medical Corporation | Emergency Medicine | 525 W Acacla St, Stockton, CA 95203 | 2017-05-04 |
| 1285011064 | Brian Andrew Reuter | Emergency Medicine | Dameron Hospital, 525 Acacia St, Stockton, CA 95203 | 2015-04-30 |
| 1548209240 | Aaron James Simko | Pediatrics | 525 Acacia Street, Neonatal Department, Stockton, CA 95203 | 2006-06-06 |
| 1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
| 1619350634 | Sudha Vani Saduvala | Internal Medicine | 525 W Acacia St, Stockton, CA 95203 | 2015-07-08 |
| 1740621671 | Syed Salman Ali | Internal Medicine | 525 W Acacia St, Stockton, CA 95203 | 2013-07-08 |
| 1417021726 | Sahir Naseer | Emergency Medicine | 525 W Acacia St, Stockton, CA 95203 | 2006-11-20 |
| 1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1154631554 | Sohan S Mahil M.d. Inc. | Internal Medicine | 2626 N California St Ste M, Stockton, CA 95204-5500 | 2010-10-19 |
| 1548335185 | Iftikhar A Malik | Internal Medicine | 2800 N California St Ste 7, Stockton, CA 95204-3758 | 2006-11-21 |
| 1568573640 | George E. Rishwain, M.d., Inc | Internal Medicine | 1805 N California St Ste 309, Stockton, CA 95204-6032 | 2006-08-31 |
| 1831163096 | Robert L Protell | Internal Medicine | 415 E Harding Wy, # G, Stockton, CA 95204 | 2006-02-15 |
| 1598738122 | George E Rishwain | Internal Medicine | 782 E Harding Way, Stockton, CA 95204-6101 | 2006-02-13 |
| 1194147645 | Sandar Linn | Internal Medicine | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2014-01-16 |
| 1427115211 | Sohan S Mahil | Internal Medicine | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2007-01-02 |
| 1790863694 | David R. Cornish | Internal Medicine | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
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| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
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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.