Individual provider Active NPI

Vinod K Dhawan, MD

  • Infectious Disease Physician
  • Pomona, CA
National Provider Identifier
1104922806
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A34165 Issued in CA
Practice address
1902 Royalty Dr
Suite 200
Pomona, CA 91767
Phone
(909) 865-5023
Fax
(562) 865-0393
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A34165 CA Primary

Addresses

Primary practice location

1902 Royalty Dr
Suite 200
Pomona, CA 91767

Mailing address

19122 Bechard Avenue
Cerritos, CA 90703
Phone (909) 865-5023

Other identifiers 1

IdentifierTypeStateIssuer
00A341650MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000479 CA Practitioner - Infectious Disease 0547344871 Reassigns benefits to 1 organization
Practice locations: Rancho Cucamonga, CA; West Covina, CA; Upland, CA; Torrance, CA; Pomona, CA; Ontario, CA; Montclair, CA; Covina, CA…

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 W Carson St Box
Suite 480
Torrance, CA 90502-2004
Phone (909) 865-5023

1115 S Sunset Ave
West Covina, CA 91790-3940
Phone (626) 915-6255

1798 N Garey Ave
Pomona, CA 91767-2918
Phone (909) 623-8715

19122 Bechard Ave
Cerritos, CA 90703-7205

5000 San Bernardino St
Montclair, CA 91763-2326
Phone (909) 625-5411

5451 Walnut Ave
Chino, CA 91710-2609
Phone (909) 627-6111

550 N Monterey Ave
Ontario, CA 91764-3318
Phone (909) 391-0333

875 N Brea Blvd
Brea, CA 92821-2606
Phone (714) 529-6842

Hospital & facility affiliations

  • Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758
  • Chino Valley Medical Center Hospital, Chino, CA, CCN 050586
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34165CAMDInfectious Disease Physician
34165CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Medical Group Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1104922806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19122 BECHARD AVENUE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "909-865-5023",
            "fax_number": "562-865-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR",
            "address_2": "SUITE 200",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-865-5023",
            "fax_number": "562-865-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "VINOD",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A34165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.