DR. JYOTHI I TIRUMALASETTY


Address: 1245 16th St Ste 303, Santa Monica, CA 90404-1265
Phone: 3104814646

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 1245 16TH ST STE 303
City SANTA MONICA
State CA
Zip Code 90404-1265

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SANTA MONICA
Zip Code 90404

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Dataset Information

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.

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