PUSHPA NAGARAM VADIVEL
NPI 1558515445
Specialist in San Diego, CA

Q: What is Pushpa Vadivel's NPI number?

The NPI number for Pushpa Vadivel is 1558515445. It was assigned to this individual provider in the NPPES registry on November 5, 2008.

Q: What is Pushpa Vadivel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Pushpa Vadivel was last updated on February 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 05, 2008PECOS Enrolled

4725 MARKET ST, SAN DIEGO, CA 92102(619) 515-2560 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2022, Dec 8, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Pushpa Nagaram Vadivel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUSHPA NAGARAM VADIVEL (NPI 1558515445) is an individual specialist in San Diego, California, licensed in California (A105920) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hayward.

NPPES Registry Identity

NPI1558515445

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NamePUSHPA NAGARAM VADIVEL

Location Address4725 MARKET STSan Diego, CA 92102-4715

Mailing Address27212 Calaroga AveHayward, CA 94545-4339 · (510) 293-5655 · Fax (510) 784-2502

Phone(619) 515-2560

Sole ProprietorNo

Enumeration DateNovember 5, 2008

Last NPPES UpdateFebruary 10, 20224 updates tracked since enumeration

✔ NPI 1558515445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A105920

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4725 MARKET ST, San Diego, CA 92102

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Secondary Practice Location 1

Location 127212 Calaroga AveHayward, CA 94545-4339 · Phone (510) 293-5655 · Fax (510) 784-2502

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pushpa Nagaram Vadivel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DANA M. RODRIGUEZ N.P., PHD

Nurse Practitioner (Pediatrics)