NPIMap

Individual provider Active NPI

Vinay V.R. Keesara, M.D.

  • Interventional Cardiology Physician
  • Sun Valley, CA
National Provider Identifier
1033150933
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A44003 Issued in CA
Practice address
9375 San Fernando Rd
Sun Valley, CA 91352-1418
Phone
(818) 768-3000
Fax
(818) 504-4690
NPI assigned
Jun 10, 2006
Last updated
Jul 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A44003 CA Primary

Addresses

Primary practice location

9375 San Fernando Rd
Sun Valley, CA 91352-1418

Mailing address

9375 San Fernando Road
Sun Valley, CA 91352
Phone (818) 504-4700

Other identifiers 1

IdentifierTypeStateIssuer
00A440030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105001059 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8426011891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SFV Health Center, Inc.Group PAC ID 2264838796, 3 clinicians

Practice addresses (Care Compare)

8426 Sunland Blvd
Sun Valley, CA 91352-3436
Phone (815) 504-4514

9375 San Fernando Rd
Sun Valley, CA 91352-1418

9375 San Fernando Rd
Sun Valley, CA 91352-1428
Phone (818) 768-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
46.85
Promoting interoperability
74
Improvement activities
40
Cost
71.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44003CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serra Community Medical Clinic Inc CurrentSince Jan 1, 2001 Accepting new patients
Serra Community Medical Clinic, Inc. CurrentSince Jan 1, 2001 Accepting new patients
SFV Health Center Inc CurrentSince Aug 17, 2021 Accepting new patients
SFV Health Center Inc CurrentSince Aug 17, 2021 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Pacifica of the Valley Corporation Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

8100 Sunland Blvd
Sun Valley, CA 91352
Phone (818) 242-6811

8426 Sunland Blvd
Sun Valley, CA 91352
Phone (815) 504-4514

9375 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 504-4700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kev117pcs@m1606.primeclinicalsystems.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1033150933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO ROAD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "91352",
            "telephone_number": "818-504-4700",
            "fax_number": "818-504-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521418",
            "telephone_number": "818-768-3000",
            "fax_number": "818-504-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESARA",
        "first_name": "VINAY",
        "middle_name": "V.R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A44003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A440030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

Verify at the official NPI Registry.