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

Kaavya Cherukuri

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366191678

Kaavya Cherukuri is an Internal Medicine in Sylmar, California. Qualified in 2022, 4 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022

Practice location Address checks out

14445 Olive View Dr
Sylmar, CA 91342-1438
Phone: (747) 210-3205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366191678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing address14445 Olive View Dr, Sylmar, CA 91342-1438

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Sylmar