1538285754 NPI number — DR. MEENAL SWAMI MD

Table of content: DR. MEENAL SWAMI MD (NPI 1538285754)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538285754 NPI number — DR. MEENAL SWAMI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWAMI
Provider First Name:
MEENAL
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538285754
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15525 POMERADO RD
Provider Second Line Business Mailing Address:
SUITE B-1
Provider Business Mailing Address City Name:
POWAY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92064-2435
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-487-8333
Provider Business Mailing Address Fax Number:
858-487-0856

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15525 POMERADO ROAD
Provider Second Line Business Practice Location Address:
SUITE B-1
Provider Business Practice Location Address City Name:
POWAY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92064-2435
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-487-8333
Provider Business Practice Location Address Fax Number:
858-487-0856
Provider Enumeration Date:
03/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  A100061 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 390200000X , with the licence number: LL1469 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: A100061 . This is a "CALIFORNIA LICENSE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com