Kulendu G Vasavda MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A49048 Issued in CA

Legal business name

KULENDU G VASAVDA MD INC

Practice address

221 Tuxedo Court
Suite B
Stockton, CA 95204

Phone

(209) 941-0149

Fax

(209) 941-2550

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Kulendu G Vasavda, MDNPI 1245443654

Title

President

Phone

(209) 941-0149

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kulendu Ghanshyam Vasavda, M.D.

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1245443654
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043382187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TUXEDO COURT",
            "address_2": "SUITE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95204",
            "telephone_number": "209-941-0149",
            "fax_number": "209-941-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 TUXEDO COURT",
            "address_2": "SUITE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95204",
            "telephone_number": "209-941-0149",
            "fax_number": "209-941-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULENDU G VASAVDA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VASAVDA",
        "authorized_official_first_name": "KULENDU",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-941-0149",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alla Krygina
• Jonjei Ku, DDS
• Giselle Starly Kuang
• Keasha Kudron
• Megan Kuhn, M.S., CCC-SLP
• Anubhi Rishikesh Kulkarni, MD
• Lakshmi Kulkarni
• Pallavi S Kulkarni
• Rishikesh Pradip Kulkarni, MD
• Gaurav Kumar, M.D.

• Family Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.