Mahesh and Jayshree Vyas a Professional Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MAHESH AND JAYSHREE VYAS A PROFESSIONAL MEDICAL CORPORATION

Practice address

8245 E Monte Vista Rd
Suite 200
Anaheim, CA 92808-1295

Phone

(714) 974-0100

Fax

(714) 974-0300

NPI assigned

Jul 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahesh Vyas

Title

Provider

Phone

(714) 974-0100

Specialties & licenses 1

Addresses

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1003015009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 E MONTE VISTA RD",
            "address_2": "SUITE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081295",
            "telephone_number": "714-974-0100",
            "fax_number": "714-974-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 E MONTE VISTA RD",
            "address_2": "SUITE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081295",
            "telephone_number": "714-974-0100",
            "fax_number": "714-974-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHESH AND JAYSHREE VYAS A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "714-974-0100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.