NPIMap

Individual provider Active NPI

Gopal Govindarajan, M.D. F.A.C.C.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1124015987
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A30202 Issued in CA
Practice address
1640 W. Third St.
Los Angeles, CA 90017
Phone
(213) 483-1251
Fax
(213) 483-8577
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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 A30202 CA
Cardiovascular Disease Physician 207RC0000X A30202 CA Primary

Addresses

Primary practice location

1640 W. Third St.
Los Angeles, CA 90017

Mailing address

101 E. Beverly Blvd.
Suite 302
Montebello, CA 90640
Phone (323) 728-8181

Other identifiers 1

IdentifierTypeStateIssuer
00A302020MedicaidCA

Other names 1

  • Dr. Rajagopalan Govindarajan Former name

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
I20100913000385 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7810012069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1640 W 3Rd St
Los Angeles, CA 90017-1102
Phone (213) 483-1251

2614 W Beverly Blvd
Montebello, CA 90640-2310
Phone (323) 728-8181

Hospital & facility affiliations

  • Prime Nursing Services Home health agency, Los Angeles, CA, CCN 057497
  • East Los Angeles Doctors Hospital Hospital, Los Angeles, CA, CCN 050641

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A30202CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gopal Govindarajan MD Inc Cardiovascular Disease CurrentSince Jan 1, 1973 Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Sudha Govindarajan M D a Professional Corp Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Eladh, LP Past Accepting new patients

Locations

1640 W 3rd St
Los Angeles, CA 90017
Phone (213) 483-1251

2614 W Beverly Blvd
Montebello, CA 90640
Phone (323) 728-0653

101 E Beverly Blvd
Ste 302
Montebello, CA 90640
Phone (213) 728-8181

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gopal.govindarajan.p78@direct.healthcarepartners.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Prime Nursing ServicesLos Angeles, CA, CCN 057497 Home health agency Contracted Managing Employee (25%) Mar 8, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 4

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1124015987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E. BEVERLY BLVD.",
            "address_2": "SUITE 302",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-728-8181",
            "fax_number": "323-724-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W. THIRD ST.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90017",
            "telephone_number": "213-483-1251",
            "fax_number": "213-483-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVINDARAJAN",
        "first_name": "GOPAL",
        "name_prefix": "Dr.",
        "credential": "M.D. F.A.C.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30202",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A30202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A302020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJAGOPALAN",
            "last_name": "GOVINDARAJAN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.