Organization Active NPI

Sanjay M. Vaswani, MD., Inc

  • Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1104013697
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A75912 Issued in CA
Legal business name
SANJAY M. VASWANI, MD., INC
Practice address
1601 Dove St
Ste 230
Newport Beach, CA 92660-2433
Phone
(949) 200-7103
Fax
(866) 878-4621
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Dr. Sanjay Maniklal Vaswani, MD
Title
President
Phone
(949) 302-0252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A75912 CA Primary

Addresses

Primary practice location

1601 Dove St
Ste 230
Newport Beach, CA 92660-2433

Mailing address

1601 Dove St
Suite 230
Newport Beach, CA 92660-2433
Phone (949) 200-7103

National Provider Directory

National Provider Directory

Locations

6600 Eucalyptus Dr
Bakersfield, CA 93306
Phone (661) 363-8127

1601 Dove St
#203
Newport Beach, CA 92660
Phone (949) 200-7103

1601 Dove St
Ste 230
Newport Beach, CA 92660
Phone (949) 200-7103

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1104013697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST",
            "address_2": "SUITE 230",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602433",
            "telephone_number": "949-200-7103",
            "fax_number": "866-878-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST",
            "address_2": "STE 230",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602433",
            "telephone_number": "949-200-7103",
            "fax_number": "866-878-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY M. VASWANI, MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "VASWANI",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "MANIKLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-302-0252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A75912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.