NPIMap

Individual provider Active NPI

Chirag Vaidya, MD

  • Nephrology Physician
  • Upland, CA
National Provider Identifier
1073654570
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A111164 Issued in CA
Practice address
1317 W Foothill Blvd
Ste 148
Upland, CA 91786-3676
Phone
(909) 981-5882
Fax
(909) 946-0833
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 233518 MA
Nephrology Physician 207RN0300X A111164 CA Primary

Addresses

Primary practice location

1317 W Foothill Blvd
Ste 148
Upland, CA 91786-3676

Mailing address

PO Box 1869
Upland, CA 91785-1869
Phone (909) 981-5882

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
I20100916001137 CA Practitioner - NephrologyPractitioner - Internal Medicine 5193823441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Upland and PomonaGroup PAC ID 2264482744, 6 clinicians

Practice addresses (Care Compare)

1902 Royalty Dr
Suite 230
Pomona, CA 91767-3041
Phone (909) 981-5882

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233518MAMDRegistered Nurse
A111164CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Nephrology Associates of Upland and Pomona Nephrology CurrentSince Aug 1, 2010 Accepting new patients
Dignity Health Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Baystate Affiliated Practice Organization Internal Medicine Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

16465 Sierra Lakes Pkwy
Ste 220
Fontana, CA 92336
Phone (909) 261-8082

16465 Sierra Lakes Pkwy
Ste 115
Fontana, CA 92336
Phone (909) 823-8000

1902 Royalty Dr
Ste 230
Pomona, CA 91767
Phone (909) 984-5882

1317 W Foothill Blvd
Ste 148
Upland, CA 91786

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: chirag.vaidya@direct.davitaphysiciansolutions.com
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1073654570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851869",
            "telephone_number": "909-981-5882",
            "fax_number": "909-946-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W FOOTHILL BLVD",
            "address_2": "STE 148",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863676",
            "telephone_number": "909-981-5882",
            "fax_number": "909-946-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "CHIRAG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "233518",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A111164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.