PRATYUSHA PATLOLLA MD
NPI 1629864129
Student in an Organized Health Care Education/Training Program in Lynwood, CA

Active since April 19, 2025
3630 E IMPERIAL HWY, LYNWOOD, CA 90262(310) 900-8900 Get Directions Write a Review

NPPES record last updated: May 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pratyusha Patlolla Md NPPES

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

PRATYUSHA PATLOLLA MD (NPI 1629864129) is an individual student in an organized health care education/training program in Lynwood, California and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1629864129
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePRATYUSHA PATLOLLACredential: MD
Location Address3630 E IMPERIAL HWYLynwood, CA 90262-2609
Mailing Address3630 E Imperial HwyLynwood, CA 90262-2609 · (310) 900-8900
Sole ProprietorNo
Enumeration DateApril 19, 2025
Last NPPES UpdateMay 18, 2025
NPPES CertifiedMay 18, 2025
NPI 1629864129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3630 E IMPERIAL HWY, Lynwood, CA 90262

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.

Clinic/Center (Adolescent and Children Mental Health)
3630 E IMPERIAL HWY
LYNWOOD, CA 90262
Nurse Anesthetist, Certified Registered
3630 E IMPERIAL HWY
LYNWOOD, CA 90262
Pathology (Anatomic Pathology & Clinical Pathology)
3630 E IMPERIAL HWY
LYNWOOD, CA 90262
Emergency Medicine
3630 E IMPERIAL HWY, EMERGENCY DEPARTMENT
LYNWOOD, CA 90262
Marriage & Family Therapist
3630 E IMPERIAL HWY
LYNWOOD, CA 90262
Surgery (Surgical Critical Care)
3630 E IMPERIAL HWY
LYNWOOD, CA 90262
Student in an Organized Health Care Education/Training Program
3630 E IMPERIAL HWY
LYNWOOD, CA 90262
Registered Nurse (Psychiatric/Mental Health)
3630 E IMPERIAL HWY
LYNWOOD, CA 90262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pratyusha Patlolla's NPI number?

The NPI number for Pratyusha Patlolla is 1629864129. It was assigned to this individual provider in the NPPES registry on April 19, 2025.

Where is Pratyusha Patlolla located?

Pratyusha Patlolla practices at 3630 E Imperial Hwy, Lynwood, CA 90262. The listed phone number is (310) 900-8900.

What is Pratyusha Patlolla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Pratyusha Patlolla was last updated on May 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.