PURUSHOTHAM & AKTHER KOTHA MD (NPI# 1447372487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447372487 |
| Entity Type | Organization |
| Organization Name | PURUSHOTHAM & AKTHER KOTHA MD |
| Practice Address |
8860 Center Dr #400 La Mesa CA 91942-3068 |
| Practice Telephone | 6192291995 |
| Mailing Telephone | 6192291995 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-09-19 |
| Authorized Official Name | DR. PURUSHOTHAM KOTHA (PRESIDENT) |
| Authorized Official Telephone | 6192291995 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A415338 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
A45440 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A45440 | 05 | |
| CA | 00A41538 | 05 |
| Street Address |
8860 CENTER DR #400 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561692 | Robert Edward Bushman | Dermatology | 8860 Center Dr, Ste 300, La Mesa, CA 91942-3068 | 2005-07-12 |
| 1598137184 | Mccormack Dental Imaging | Dental Laboratory | 8860 Center Dr, Ste. 340, La Mesa, CA 91942-3068 | 2015-10-22 |
| 1982000816 | Lindsay Marie Warner | Nurse Practitioner | 8860 Center Dr, Suite 210, La Mesa, CA 91942-3068 | 2014-11-04 |
| 1467876771 | Joyce M Mancini | Nurse Practitioner | 8860 Center Dr, Ste 320, La Mesa, CA 91942-7001 | 2014-02-06 |
| 1407148216 | Scott Recksiedler | Dentist | 8860 Center Dr, Suite 460, La Mesa, CA 91942-3068 | 2011-05-11 |
| 1427378363 | Barzan Mohedin, Md, A Professional Corporation | Internal Medicine | 8860 Center Dr, Suite 310, La Mesa, CA 91942-3068 | 2010-06-02 |
| 1295963460 | Firas Alhaddad | Internal Medicine | 8860 Center Dr, #240, La Mesa, CA 91942-3068 | 2009-06-26 |
| 1760626477 | Hassan Kafri Md, Inc. | Internal Medicine | 8860 Center Dr, Suite 320, La Mesa, CA 91942-3068 | 2009-04-24 |
| 1881847044 | Brian Terumi Nagai | Dentist | 8860 Center Dr, Suite 430, La Mesa, CA 91942-3068 | 2008-10-30 |
| 1497931380 | Christopher V Crosby | Dermatology | 8860 Center Dr, Suite 300, La Mesa, CA 91942-3068 | 2008-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1417117839 | Roshan Kotha | Internal Medicine | 8860 Center Dr Ste 400, La Mesa, CA 91942-7003 | 2008-06-10 |
| 1780609503 | Akther Jahan Kotha | Internal Medicine | 8860 Center Dr, #400, La Mesa, CA 91942-3068 | 2006-07-13 |
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| 1659842532 | Harry Edward Gruber | Internal Medicine | 4511 Rancho Del Mar Trl, San Diego, CA 92130-5207 | 2018-12-17 |
| 1124596556 | Arthritis and Rheumatic Care Clinic, Inc. | Internal Medicine | 1401 N Palm Canyon Dr Ste 103, Palm Springs, CA 92262-4434 | 2018-11-03 |
| 1235629338 | Carewell Medical Group Inc | Internal Medicine | 18419 Us Highway 18 Ste 1, Apple Valley, CA 92307-2333 | 2018-05-14 |
| 1336641992 | Prohealth Partners A Medical Group | Internal Medicine | 26700 Towne Centre Dr Ste 165, Foothill Ranch, CA 92610-2845 | 2018-02-28 |
| 1699291765 | Peter James Lloyd Md Inc | Internal Medicine | 2251 Montgomery Ave, Cardiff, CA 92007-1913 | 2017-08-20 |
| 1285155010 | David Alexandre Chetrit | Internal Medicine | 757 Westwood Plaza, Rheumatology, Los Angeles, CA 90095-6130 | 2017-07-01 |
| 1447791181 | Ross Stephen Howard | Internal Medicine | 936 Harbor View Dr, San Diego, CA 92106-2438 | 2017-03-14 |
| 1295286714 | Tharaknath Rao | Internal Medicine | 14767 Calle Carla, Rancho Santa Fe, CA 92067 | 2016-10-19 |
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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.