Organization Active NPI

Vermani Medical Services Inc

  • Exclusive Provider Organization
  • Covina, CA
National Provider Identifier
1124358452
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
A62331 Issued in CA
Legal business name
VERMANI MEDICAL SERVICES INC
Practice address
530 W Badillo St
Suite B
Covina, CA 91722
Phone
(626) 966-1113
Fax
(626) 967-2700
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Dr. Pawan Kumar Vermani, M.D.NPI 1205864451
Title
Owner
Phone
(626) 966-1113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X A62331 CA Primary

Addresses

Primary practice location

530 W Badillo St
Suite B
Covina, CA 91722

Mailing address

530 W Badillo St
Suite B
Covina, CA 91722-3787
Phone (626) 966-1113

Other identifiers 1

IdentifierTypeStateIssuer
0050434MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728000297 CA Part B Supplier - Clinic/Group Practice 8729111745 Receives reassigned benefits from 1 practitioner
Practice locations: Covina, CA

National Provider Directory

National Provider Directory

Locations

516 W Badillo St
Covina, CA 91722
Phone (626) 331-8202

Practitioners & affiliated clinicians

Practitioners 2

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": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1124358452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W BADILLO ST",
            "address_2": "SUITE B",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223787",
            "telephone_number": "626-966-1113",
            "fax_number": "626-967-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W BADILLO ST",
            "address_2": "SUITE B",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91722",
            "telephone_number": "626-966-1113",
            "fax_number": "626-967-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMANI MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "VERMANI",
        "authorized_official_first_name": "PAWAN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-966-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "A62331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050434",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.