Vikram Udani MD Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

VIKRAM UDANI MD INC

Practice address

11199 Sorrento Valley Rd Ste 203
San Diego, CA 92121-1334

Phone

(619) 566-0640

Fax

(619) 566-0620

NPI assigned

May 11, 2018

Last updated

Sep 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vikram Udani, MDNPI 1093959108

Title

President

Phone

(858) 598-5291

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vikram Udani, MD

  • Neurological Surgery Physician
  • San Diego, CA
  • NPI 1093959108
  Medicare reassignment Care Compare group NPD Authorized official
• Kaye Lim Elamparo, NP

  • Nurse Practitioner
  • La Jolla, CA
  • NPI 1851673610
  Medicare reassignment Care Compare group NPD
• Hayden E Swire, PA-C

  • Physician Assistant
  • San Diego, CA
  • NPI 1710737853
  Medicare reassignment Care Compare group
• Joshua Wenli Chua, PA-C

  • Physician Assistant
  • San Diego, CA
  • NPI 1700447885
  Medicare reassignment
• Bryna Elizabeth Florence, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • San Diego, CA
  • NPI 1245471853
  Medicare reassignment
• Cassie Johnson

  • Surgical Physician Assistant
  • San Diego, CA
  • NPI 1518374255
  Medicare reassignment
• Kellie Michelle Zumot, PA-C

  • Physician Assistant
  • Sacramento, CA
  • NPI 1114241072
  Medicare reassignment

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1093205312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2381",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920672381",
            "telephone_number": "858-598-5291",
            "fax_number": "858-598-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11199 SORRENTO VALLEY RD STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211334",
            "telephone_number": "619-566-0640",
            "fax_number": "619-566-0620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5395 Ruffin Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231338",
            "country_code": "US",
            "telephone_number": "858-598-5291",
            "fax_number": "858-598-5296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIKRAM UDANI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "UDANI",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-598-5291",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Kate Vigna
• Erik Viirre, M.D.
• Vijaya KV Prabhu.DDS. a Proffessional Corp (WestView Dental Office)
• Maya Vijayaraghavan, M.D.
• Pamela Sue Vik, NNP
• Christopher Vilchis
• Lola Vildavskaia, PHD
• Gary M Vilke, MD
• Cesia Villa Bello
• Villa del Mar 1 Corp.

• Neurological Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.