Individual provider Active NPI

Rajiv Vijayakumar, P.T., D.P.T., M.S.

  • Orthopedic Physical Therapist
  • Culver City, CA
National Provider Identifier
1043598568
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
35584 Issued in CA
Practice address
3916 Sepulveda Blvd
Suite 208
Culver City, CA 90230-4640
Phone
(310) 945-5705
NPI assigned
Aug 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 35584 CA Primary

Addresses

Primary practice location

3916 Sepulveda Blvd
Suite 208
Culver City, CA 90230-4640

Mailing address

3916 Sepulveda Blvd
Suite 208
Culver City, CA 90230-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000850 CA Practitioner - Physical Therapist in Private Practice 8921272535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessed Orthopedic Physical Therapy Inc.Group PAC ID 8628102498, 2 clinicians

Practice addresses (Care Compare)

10131 National Blvd
Suite a
Los Angeles, CA 90034-3804
Phone (917) 207-0371

3916 Sepulveda Blvd
Suite 204
Culver City, CA 90230-4651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
35584CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blessed Orthopedic Physical Therapy Inc. Orthopedic CurrentSince Aug 1, 2011 Accepting new patients

Locations

3916 Sepulveda Blvd
Ste 208
Culver City, CA 90230
Phone (310) 926-6401

10131 National Blvd
#A
Los Angeles, CA 90034
Phone (917) 207-0371

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1043598568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 SEPULVEDA BLVD",
            "address_2": "SUITE 208",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 SEPULVEDA BLVD",
            "address_2": "SUITE 208",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304640",
            "telephone_number": "310-945-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYAKUMAR",
        "first_name": "RAJIV",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "35584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.