Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Pramod Theetha Kariyanna, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881005809

Dr. Pramod Theetha Kariyanna, MD is an Interventional Cardiology in Pomona, California. Qualified in 2011, 15 years ago. Practices with St Peters Health, a 206-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
15
Licensed in
CA, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

790 E Bonita Ave Fl 2
Pomona, CA 91767-1906
Phone: (909) 447-8585
Fax: (909) 447-8593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8330 Red Oak St Ste 101, Rancho Cucamonga, CA 91730-0603 — (909) 987-4922

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence A183121 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1881005809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 13, 2014
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Peters Health — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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