Vinod Chandrashekhar Patwardhan, M.D

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

A29318 Issued in CA

Practice address

5404 Moreno St Ste N
Montclair, CA 91763-1666

Phone

(909) 967-6302

Fax

(909) 949-4441

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vinod C. Patwardhan MD

  • Clinical Medical Laboratory
  • Upland, CA
  • NPI 1396016010
  NPD (past) Authorized official
• Leon Forefront Medical Services Inc.

  • Family Medicine Physician
  • Montclair, CA
  • NPI 1588016364
  NPD
• Montclair Vida Health Clinic PC

  • Health Service Clinic/Center
  • Montclair, CA
  • NPI 1699034827
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1114922606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 MORENO ST STE N",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631666",
            "telephone_number": "909-967-6302",
            "fax_number": "909-949-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 MORENO ST STE N",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631666",
            "telephone_number": "909-967-6302",
            "fax_number": "909-949-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATWARDHAN",
        "first_name": "VINOD",
        "middle_name": "CHANDRASHEKHAR",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A29318",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "A29318",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2649122",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB64832F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A293180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Vishnu Patel, DDS
• Patient Care Hospice, Inc.
• Patients Choice Medical Group Inc
• Patla & Associates Children and Family Therapy Inc
• La Tanyia Denise Patterson
• Paula Izvernari DDS Inc
• Nathaniel Payne
• Elizabeth Anne Pearson
• Kenya Pearson
• Kiana-Lei Carbonell Penaranda

• Hematology & Oncology Physician in Montclair, CA
• Providers in Montclair, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.