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Dr. Troy Huvilla Niguidula, MD

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Specializes in: Internal Medicine (Adult Medicine)

University of California, Los Angeles (UCLA), David Geffen School of Medicine (1994)

Professional interests include: hypertension (high blood pressure), depression, chronic fatigue syndrome (CFS), and more.

610 Euclid Avenue Suite 201
National City, CA 91950

(619) 267-8181

Dr. Troy Huvilla Niguidula, MD is an internist in National City, CA specializing in internal medicine (adult medicine). He graduated from University of California, Los Angeles (UCLA), David Geffen School of Medicine in 1994 and has 31 years of experience. Dr. Troy Huvilla Niguidula, MD is affiliated with Paradise Valley Hospital and Sharp HealthCare.

Office Locations

Address:

610 Euclid Avenue Suite 201
National City, CA 91950

Some issues Dr. Troy Huvilla Niguidula, MD can help you with:

Asthma

Asthma is a chronic lung disease where the tissue and airways of the lungs become extremely sensitive to certain substances. When these substances are breathed in, the lungs become inflamed. The muscles around the airways tighten and squeeze the lungs, and passages within the lungs swell and tighten. The airways themselves produce mucus, which further clogs the tightened, swollen airways. A person having an asthma attack finds it very difficult to breathe, and a severe attack can even be fatal.

Asthma affects people of all ages, but people with asthma are most often diagnosed as children. Symptoms can include wheezing, a tight feeling in the chest, shortness of breath, and coughing. Some people have mild symptoms all the time, and some people have no symptoms at all, but everyone with asthma is susceptible to occasional severe attacks or flare-ups of symptoms when they are exposed to triggers. Triggers vary widely but can include:

Allergens (dust mites, pet fur, mold, pollen, grass)
Irritants (smoke, pollution, dust, chemicals)
Viral infections
Physical activity, especially outdoors
Certain medications or chemicals in foods (aspirin, sulfites)

Treatment for most asthma patients involves three steps. Patients learn what their asthma triggers are and avoid them. They take a daily control medication, usually an inhaled corticosteroid, to reduce inflammation in the lungs. Also, they have rescue medication with them at all times to take in case of a severe attack. These quick-acting inhaled medications relax the muscles around the airways and allow the lungs to open up for air.

There is no cure for asthma, but with treatment it should not interfere with daily life and activities.

Depression

Everyone knows what it feels like to get the blues once in a while. But depression is a serious illness that is more severe than a bad day and lasts much longer. Symptoms of depression stop a person from being able to function and enjoy daily activities for weeks or months at a time. It can happen to anyone, and it isn't something that people can control by force of will or "snap out of it."

Some common symptoms of depression include:

Feeling sad, guilty, empty or hopeless
Fatigue and a lack of energy and motivation
A loss of pleasure in activities that were previously enjoyed
Unusual sleep or eating habits
Mental fog -- trouble concentrating, remembering, or making decisions
Physical aches and pains
Suicidal thoughts or a preoccupation with death

We don't yet know what causes depression, but it's thought that it is a combination of genetic, biological, environmental, and social influences. Because of this, the most effective treatments for depression combine medication with psychotherapy. Therapy, especially cognitive-behavioral therapy, can be extremely helpful in resolving the negative thoughts and feelings that come with depression. It gives patients new tools that they can use themselves to cope when their depression is making them feel down.

Some of the common medications used to treat depression include antidepressants such as SSRI's (Prozac, Paxil, Zoloft) or atypical antidepressants (Cymbalta, Wellbutrin). It's important to remember that these medications have different effects on everybody, and no one medication works right for everyone. Patients may have to try a couple before finding the one that works just right for them. If the first medication they try doesn't work, they should talk to their doctor about trying something else. In extreme cases where medication is not enough, electro-convulsive therapy and hospitalization may be the answer to keeping a severely depressed person safe.

Depression is a difficult illness to deal with, but it is more common than believed and there are many people who can help. With the right treatment, individuals with depression can get back to fully enjoying life again.

Headache

Headaches are dull or sharp pains that occur in regions of the head and face. Headaches occur in many different forms and vary in location, severity, and duration. They are not necessarily a sign of an underlying illness and often resolve on their own. However, headaches can present significant day-to-day discomfort. The most common forms of headaches include:

Migraines: one of the most prevalent types of headache, migraines typically last from two hours to three days, causing a throbbing pain on one side of the head. Nausea, sensitivity to bright lights, fatigue, and blurred vision all may accompany migraines. While migraines have no known cure, medications and lifestyle modifications may ease symptoms. Avoiding behaviors that may trigger migraines such as lack of sleep or loud, repetitive noises can improve headaches.
Tension headaches: also known as stress headaches, these headaches are characterized by pain in the upper top part of the head and behind the eyes. Tension headaches are common and have no exact cause; however, certain practices may increase the likelihood of developing them. For example, wearing one's hair up in a tight hairstyle or wearing a restrictive hat can put pressure on the scalp, leading to a tension headache. Other causes of tension headaches may include alcohol or nicotine use, caffeine, teeth grinding, stress, overexertion, and eye strain. Some people find posture improvement, alternating sleeping positions, and neck exercise can alleviate tension headaches. Over-the-counter pain relievers such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve) may also reduce tension-headache pain.
Sinus headaches: this type of headache causes pain in the sinuses, but may progress to pain and pressure in the eyes, forehead, and cheeks. These headaches are often accompanied by nasal congestion, fatigue, and ache in the upper teeth and may or may not be caused by sinus infections or sinusitis (sinus inflammation). Some sinus headaches are allergic headaches, which arise from allergic triggers such as seasonal allergies (pollen allergies) or hay fever, causing sinus pressure and facial pain. Other symptoms of allergic headaches include nasal congestion, irritated or watery eyes, runny nose, and sneezing. Allergic headaches may be treated with antihistamine medications such as cetirizine (Zyrtec). Allergic headaches are common during pollen season, which is usually around springtime.
Cluster headaches: these headaches occur suddenly and cause stabbing, sharp pain from one eye down to the one side of the neck. They are often referred to as the most aggravating and painful type of headaches. Other symptoms of cluster headaches include nasal congestion, droopy eyelid, and enlarged pupil on one side of the face. In the past, it was widely believed that cluster headaches were caused by a bevy or "cluster" of multiple types of headaches, such as a combination of an allergic headache and a tension headache. Medical experts now recognize that cluster headaches are a separate and unique form of headache. Cluster headaches last for around twenty minutes to two hours. They may recur throughout the period of a day or several weeks, but usually dissipate within a month. Treatment for cluster headaches includes over-the-counter pain medications such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve). Prescription Prednisone can help with swelling and Verapamil may reduce pain by relaxing the blood vessels.

Living with headaches is challenging; headaches can prevent people from fully enjoying life. Medical treatment and care in avoiding certain triggers can help those with headaches begin to feel normal once again.

doctor visit	352
hospital care	3415
inpatient care	3415
nursing home care	718

**Gender**
Male	379
Female	304

**Ethnicity**
Non-Hispanic White	296
Black	108
Hispanic	188
Asian	71
Other	0
Native American	0

**Age**
From 65 to 74	127
From 75 to 84	103
85 and over	74
Less than 65	379

Hypertension	75
High Cholesterol	65
Stroke	14
Ischemic Heart Disease	43
Depression	64
Chronic Kidney Disease	40
Asthma	27
Osteoperosis	10
Atrial Fibrilation	11
Heart Failure	50
Chronic Obstructive Pulmonary Disease	54
Diabetes	60
Dementia	33
Cancer	6

doctor visit	255
hospital care	3160
inpatient care	3160
nursing home care	720

**Gender**
Male	344
Female	298

**Ethnicity**
Non-Hispanic White	302
Black	84
Hispanic	169
Asian	69
Other	0
Native American	0

**Age**
From 65 to 74	129
From 75 to 84	122
85 and over	89
Less than 65	302

Hypertension	75
High Cholesterol	66
Stroke	14
Ischemic Heart Disease	50
Depression	63
Chronic Kidney Disease	45
Asthma	21
Osteoperosis	10
Atrial Fibrilation	13
Heart Failure	53
Chronic Obstructive Pulmonary Disease	53
Diabetes	58
Dementia	38
Cancer	6

doctor visit	266
hospital care	2949
inpatient care	2949
nursing home care	660

**Gender**
Male	638
Female	560

**Ethnicity**
Non-Hispanic White	486
Black	170
Hispanic	342
Asian	152
Other	0
Native American	0

**Age**
From 65 to 74	292
From 75 to 84	192
85 and over	174
Less than 65	540

Hypertension	75
High Cholesterol	66
Stroke	16
Ischemic Heart Disease	52
Depression	60
Chronic Kidney Disease	54
Asthma	38
Osteoperosis	10
Atrial Fibrilation	14
Heart Failure	49
Chronic Obstructive Pulmonary Disease	52
Diabetes	59
Dementia	35
Cancer	8

doctor visit	269
hospital care	2685
inpatient care	2685
nursing home care	659

**Gender**
Male	297
Female	253

**Ethnicity**
Non-Hispanic White	209
Black	75
Hispanic	168
Asian	83
Other	0
Native American	0

**Age**
From 65 to 74	140
From 75 to 84	96
85 and over	93
Less than 65	221

Hypertension	75
High Cholesterol	67
Stroke	13
Ischemic Heart Disease	50
Depression	52
Chronic Kidney Disease	56
Asthma	50
Osteoperosis	10
Atrial Fibrilation	14
Heart Failure	48
Chronic Obstructive Pulmonary Disease	47
Diabetes	58
Dementia	36
Cancer	9

doctor visit	351
hospital care	2341
inpatient care	2341
nursing home care	1020

**Gender**
Male	348
Female	305

**Ethnicity**
Non-Hispanic White	272
Black	86
Hispanic	178
Asian	85
Other	0
Native American	0

**Age**
From 65 to 74	161
From 75 to 84	144
85 and over	119
Less than 65	229

Hypertension	75
High Cholesterol	68
Stroke	16
Ischemic Heart Disease	53
Depression	55
Chronic Kidney Disease	60
Asthma	17
Osteoperosis	11
Atrial Fibrilation	16
Heart Failure	48
Chronic Obstructive Pulmonary Disease	45
Diabetes	57
Dementia	40
Cancer	11

doctor visit	415
hospital care	1832
inpatient care	1832
nursing home care	1031

**Gender**
Male	314
Female	267

**Ethnicity**
Non-Hispanic White	198
Black	90
Hispanic	190
Asian	78
Other	0
Native American	0

**Age**
From 65 to 74	155
From 75 to 84	137
85 and over	115
Less than 65	174

Hypertension	75
High Cholesterol	72
Stroke	13
Ischemic Heart Disease	54
Depression	51
Chronic Kidney Disease	64
Asthma	15
Osteoperosis	10
Atrial Fibrilation	17
Heart Failure	52
Chronic Obstructive Pulmonary Disease	44
Diabetes	62
Dementia	41
Cancer	11

chronic care	212
doctor visit	537
hospital care	1596
inpatient care	1596
nursing home care	1221

**Gender**
Male	355
Female	300

**Ethnicity**
Non-Hispanic White	233
Black	88
Hispanic	212
Asian	89
Other	0
Native American	0

**Age**
From 65 to 74	194
From 75 to 84	146
85 and over	136
Less than 65	179

Hypertension	75
High Cholesterol	73
Stroke	14
Ischemic Heart Disease	56
Depression	51
Chronic Kidney Disease	66
Asthma	13
Osteoperosis	12
Atrial Fibrilation	19
Heart Failure	52
Chronic Obstructive Pulmonary Disease	42
Diabetes	61
Dementia	38
Cancer	12

chronic care	368
doctor visit	521
hospital care	1179
inpatient care	1179
nursing home care	910

**Gender**
Male	264
Female	219

**Ethnicity**
Non-Hispanic White	153
Black	60
Hispanic	166
Asian	74
Other	30
Native American	0

**Age**
From 65 to 74	122
From 75 to 84	132
85 and over	83
Less than 65	146

Hypertension	75
High Cholesterol	74
Stroke	11
Ischemic Heart Disease	45
Depression	49
Chronic Kidney Disease	63
Asthma	14
Osteoperosis	10
Atrial Fibrilation	14
Heart Failure	45
Chronic Obstructive Pulmonary Disease	37
Diabetes	59
Dementia	38
Cancer	10

chronic care	73
doctor visit	1981
hospital care	1194
inpatient care	1194
lab tests	137
nursing home care	1199

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Troy Huvilla Niguidula, MD for Medicare patients.

The highest averages for the top procedures that Dr. Troy Huvilla Niguidula, MD treated as an internist in National City, CA were hospital care, inpatient care, nursing home care and chronic care.

chronic care	217
doctor visit	550
hospital care	2261
inpatient care	2261
lab tests	137
nursing home care	904

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Troy Huvilla Niguidula, MD.

**Gender**
Female	250
Male	293

**Ethnicity**
Black / African American	76
Asian / Pacific Islander	70
Non-Hispanic White	214
Native American / Alaskan Native	0
Hispanic	161
Other	3

**Age**
85 and over	88
75 to 84	107
Less than 65	217
65 to 74	132

Average of Total of Conditions of Medicare patients treated by Dr. Troy Huvilla Niguidula, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Troy Huvilla Niguidula, MD treated were hypertension, high cholesterol, diabetes and chronic kidney disease.

Hypertension	60
High Cholesterol	55
Stroke	11
Ischemic Heart Disease	40
Depression	44
Chronic Kidney Disease	44
Asthma	19
Osteoporosis	8
Heart Failure	39
Chronic Obstructive Pulmonary Disease	37
Diabetes	47
Atrial Fibrillation	11
Cancer	7
Dementia	29

Education & Training

Dr. Troy Huvilla Niguidula, MD graduated from University of California, Los Angeles (UCLA), David Geffen School of Medicine in 1994. He completed residency at Mercy Hospital and Medical Center, Chicago. He has a state license in California.

Medical School: University of California, Los Angeles (UCLA), David Geffen School of Medicine (1994)

Residency: Mercy Hospital and Medical Center, Chicago

Licensed In: California

Affiliations & Hospitals

Dr. Troy Huvilla Niguidula, MD is associated with these hospitals and organizations:

Paradise Valley Hospital

Sharp HealthCare

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General Payments

These charts describe general payments received by Dr. Troy Huvilla Niguidula, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Janssen Pharmaceuticals, Inc	$802 XARELTO $401	INVOKANA $393	OneTouch $8
Novo Nordisk Inc	$752 NovoLog $202	Saxenda $143	RYBELSUS $140	Tresiba $81	Victoza $52	Other $134
AstraZeneca Pharmaceuticals LP	$625 SYMBICORT $148	BYDUREON $125	BRILINTA $125	FARXIGA $108	MOVANTIK $41	Other $79
Lilly USA, LLC	$613 JARDIANCE $198	TRULICITY $163	REYVOW $81	MOUNJARO $75	HUMALOG $35	Other $61
Novartis Pharmaceuticals Corporation	$536 ENTRESTO $487	LEQVIO $37	EXELON PATCH $12
Other	$4,158 TOUJEO $222	ANORO $219	Repatha $194	Lonhala Magnair $180	LINZESS $155	Other $3,188

**Types of Payments**
Food and Beverage	$7,466
Consulting Fee	$20

Biography

After completing medical school at the University of California, Los Angeles (UCLA), David Geffen School of Medicine, Dr. Troy Niguidula performed his residency at Mercy Hospital and Medical Center, Chicago. Clinical interests for Dr. Niguidula include hospice (end-of-life care), depression, and hypertension (high blood pressure). He is conversant in Filipino. He is affiliated with Paradise Valley Hospital and Sharp HealthCare. According to Sharp HealthCare, new patients are welcome to contact his office in National City, CA.