Premini Sivaruban, MD - Medicare Hospitalist in Mission Hills, CA

Premini Sivaruban, MD is a medicare enrolled "Hospitalist" physician in Mission Hills, California. She went to Saint Louis University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 11333 Sepulveda Blvd, Mission Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 365-9531.

Premini Sivaruban is licensed to practice in California (license number A130018) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649694126.

Contact Information

Premini Sivaruban, MD
11333 Sepulveda Blvd,
Mission Hills, CA 91345-1116
(818) 365-9531
(818) 837-5741

Map and Direction




Physician's Profile

Full NamePremini Sivaruban
GenderFemale
SpecialityHospitalist
Experience18 Years
Location11333 Sepulveda Blvd, Mission Hills, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Premini Sivaruban attended and graduated from Saint Louis University School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1649694126
  • Provider Enumeration Date: 02/05/2014
  • Last Update Date: 03/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6103046735
  • Enrollment ID: I20141002002593

Medical Identifiers

Medical identifiers for Premini Sivaruban such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649694126NPI-NPPES
00A1300180MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist A130018 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital - Orange County - AnaheAnaheim, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291758172

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Premini Sivaruban allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Premini Sivaruban is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Premini Sivaruban, MD
Po Box 9602,
Mission Hills, CA 91346-9602

Ph: (818) 837-5559
Premini Sivaruban, MD
11333 Sepulveda Blvd,
Mission Hills, CA 91345-1116

Ph: (818) 365-9531

Reviews and Comments


Hospitalist Doctors in Mission Hills, CA

Saber Jameel Patrus, MD
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Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345
Phone: 818-837-5789    Fax: 818-898-9282
Liza Garabet Diramerian, MD
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Phone: 877-634-3196    Fax: 818-496-1074
Dr. Lord Listowel Addo-yirenkyi, MD
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Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345
Phone: 877-634-3196    Fax: 818-993-1917
Kellie S. Russell, D.O.
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Medicare: Medicare Enrolled
Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345
Phone: 818-365-9531    
Rafik Magdy Rezk Abdou, M.D
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Medicare: Accepting Medicare Assignments
Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345
Phone: 818-496-4191    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.