Vijaya Thakur MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A79868 Issued in CA

Legal business name

VIJAYA THAKUR MD INC

Practice address

840 Delbon Ave
Suite B
Turlock, CA 95382-2005

Phone

(209) 668-2600

Fax

(209) 668-2631

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vijaya Thakur, MDNPI 1972559706

Title

President

Phone

(209) 668-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Vijaya Thakur, M.D.

  • Phlebology Physician
  • Turlock, CA
  • NPI 1972559706
  Medicare reassignment Authorized official
• Christian Mark Stockwell

  • Family Nurse Practitioner
  • Turlock, CA
  • NPI 1568222909
  Medicare reassignment NPD
• Huy Ngoc Dao, DO

  • Surgery Physician
  • Turlock, CA
  • NPI 1689694689
  NPD (past)
• Anjani Kumar Thakur, M.D.

  • Phlebology Physician
  • Turlock, CA
  • NPI 1477509529
  NPD (past)
• Adriana Elizabeth Pons, PA-C, NP-C

  • Physician Assistant
  • Boise, ID
  • NPI 1073891016
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144274366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3218",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953813218",
            "telephone_number": "209-668-2600",
            "fax_number": "209-668-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 DELBON AVE",
            "address_2": "SUITE B",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822005",
            "telephone_number": "209-668-2600",
            "fax_number": "209-668-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYA THAKUR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THAKUR",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-668-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION'S MEDICARE #",
            "identifier": "ZZZ29276Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vepema Medical Group
• Vernon G. Park, M.D.,Inc.
• Lawrence L Vierra, RPH
• Richard Anthony Vieville Jr.
• Gricelda Vieyra
• Christina Villa
• Francisco Villa
• Daisy Villafan
• Villehada Villalobos
• Alex Villegas

• Internal Medicine Physician in Turlock, CA
• Providers in Turlock, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.