Individual provider Active NPI

Hira Lal Jindal, M.D.

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1164539433
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A26281 Issued in CA
Practice address
711 W College St
590
Los Angeles, CA 90012-1163
Phone
(213) 680-9190
Fax
(213) 680-0246
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A26281 CA Primary

Addresses

Primary practice location

711 W College St
590
Los Angeles, CA 90012-1163

Mailing address

711 W College St
590
Los Angeles, CA 90012-1163
Phone (213) 680-9190

Other identifiers 1

IdentifierTypeStateIssuer
00A262810MedicaidCA

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
I20100514000329 CA Practitioner - NephrologyPractitioner - Internal Medicine 9335057660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

711 W College St
Suite 590
Los Angeles, CA 90012-1256
Phone (213) 680-9190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A26281CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hira L Jindal M D Inc Nephrology CurrentSince Dec 17, 2009 Accepting new patients

Locations

711 W College St
Ste 590
Los Angeles, CA 90012
Phone (213) 680-9190

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1164539433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "590",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-680-9190",
            "fax_number": "213-680-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "590",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-680-9190",
            "fax_number": "213-680-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINDAL",
        "first_name": "HIRA",
        "middle_name": "LAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A26281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A262810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.