Avinash M. Mondkar M.D.,a Medical Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A35142 Issued in CA

Legal business name

AVINASH M. MONDKAR M.D.,A MEDICAL CORPORATION

Practice address

1041 N China Lake Blvd
Suite a
Ridgecrest, CA 93555-3168

Phone

(310) 657-1995

Fax

(310) 657-5311

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Avinash M. Mondkar, M.D.

Title

President

Phone

(310) 657-1995

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1013068162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD",
            "address_2": "#220",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112900",
            "telephone_number": "310-657-1995",
            "fax_number": "310-657-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N CHINA LAKE BLVD",
            "address_2": "SUITE A",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553168",
            "telephone_number": "310-657-1995",
            "fax_number": "310-657-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVINASH M. MONDKAR M.D.,A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "MONDKAR",
        "authorized_official_first_name": "AVINASH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-657-1995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A35142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A351420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE/NORTHERN CA",
            "identifier": "P00736288",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE/SOUTHERN CA",
            "identifier": "756063687",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Arellano
• Emanuel Arias
• Gretchen A Arnold
• Michael Albert Arroyo Jr., IDC
• Jhoanne Dela Cruz Ave, FNP-C
• Bachman Family Dentistry, a Partnership
• Michael E Bachman, DDS
• Michael Eugene Bachman Jr., D.D.S.
• Nancy Ball
• Robert Bang, D.D.S.

• Cardiovascular Disease Physician in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.