NPIMap

Individual provider Active NPI

Sudhaker H Nayak, M.D.

  • Specialist
  • Whittier, CA
National Provider Identifier
1063501021
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A42836 Issued in CA
Practice address
12291 E Washington Blvd
Suite 100
Whittier, CA 90606-2500
Phone
(562) 789-7712
Fax
(562) 789-7719
NPI assigned
Oct 11, 2006
Last updated
Mar 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A42836 CA Primary

Addresses

Primary practice location

12291 E Washington Blvd
Suite 100
Whittier, CA 90606-2500

Mailing address

PO Box 1277
Whittier, CA 90609-1277
Phone (562) 906-6470

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
I20090331000452 CA Practitioner - Cardiovascular Disease (Cardiology) 5294892519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

12462 Putnam St
Whittier, CA 90602-1048
Phone (562) 789-5430

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Jul 1, 2008 Accepting new patients
Pih Health Physicians CurrentSince Jul 1, 2008 Accepting new patients
Pih Health Physicians Current Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

12291 Washington Blvd
Ste 100
Whittier, CA 90606
Phone (562) 638-0306

12462 Putnam St
Ste 203
Whittier, CA 90602
Phone (562) 789-5430

15725 Whittier Blvd
Whittier, CA 90603
Phone (562) 448-1350

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sudhakernayak@pihh.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pih Health Whittier Hospital Transitional Care UnitWhittier, CA, CCN 555654 Skilled nursing facility Corporate Director
Managing Control - Governing Body		 Dec 13, 2010
Dec 13, 2010
Pih Health Home Health ServicesLa Mirada, CA, CCN 057187 Home health agency Corporate Director Dec 13, 2010
Pih Health Home Healthcare - HospiceLa Mirada, CA, CCN 051542 Hospice Corporate Director Dec 13, 2010

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1063501021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1277",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906091277",
            "telephone_number": "562-906-6470",
            "fax_number": "562-946-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 E WASHINGTON BLVD",
            "address_2": "SUITE 100",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062500",
            "telephone_number": "562-789-7712",
            "fax_number": "562-789-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "SUDHAKER",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A42836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.