Individual provider Active NPI

Kanwal K Nayyar, MD

  • Neurology Physician
  • Mission Hills, CA
National Provider Identifier
1043238371
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A56226 Issued in CA
Practice address
14901 Rinaldi St
Suite 325
Mission Hills, CA 91345-1204
Phone
(818) 898-9898
Fax
(818) 898-9899
NPI assigned
Jul 17, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A56226 CA Primary

Addresses

Primary practice location

14901 Rinaldi St
Suite 325
Mission Hills, CA 91345-1204

Mailing address

14901 Rinaldi St
Suite 325
Mission Hills, CA 91345-1204
Phone (818) 898-9898

Other identifiers 1

IdentifierTypeStateIssuer
00A562260OtherCAMEDICAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000379 CA Practitioner - Neurology 5092737312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri Valley Neurology Medical Associates Inc.Group PAC ID 8921020249, 2 clinicians

Practice addresses (Care Compare)

14901 Rinaldi St
Suite 325
Mission Hills, CA 91345-1235

14901 Rinaldi St
Suite 330
Mission Hills, CA 91345-1250
Phone (818) 898-9898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A56226CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Valley Neurology Medical Associates Inc. Neurology CurrentSince Jun 20, 2001 Accepting new patients
Yuriy Verpukhovskiy MD Inc Past Accepting new patients

Locations

14901 Rinaldi St
Ste 325
Mission Hills, CA 91345
Phone (818) 898-9898

14901 Rinaldi St
Ste 330
Mission Hills, CA 91345
Phone (818) 365-7778

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043238371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST",
            "address_2": "SUITE 325",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451204",
            "telephone_number": "818-898-9898",
            "fax_number": "818-898-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST",
            "address_2": "SUITE 325",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451204",
            "telephone_number": "818-898-9898",
            "fax_number": "818-898-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYYAR",
        "first_name": "KANWAL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A56226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00A562260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.