Organization Active NPI

Vinod Kumar Garg MD Inc

  • Specialist
  • Pomona, CA
National Provider Identifier
1215146576
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A49049 Issued in CA
Legal business name
VINOD KUMAR GARG MD INC
Practice address
250 W Bonita Ave Ste 250
Pomona, CA 91767-1864
Phone
(909) 868-6800
Fax
(909) 256-2488
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Dr. Vinod Kumar Garg, MDNPI 1962578120
Title
Doctor
Phone
(909) 868-6800

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A49049 CA Primary

Addresses

Primary practice location

250 W Bonita Ave Ste 250
Pomona, CA 91767-1864

Mailing address

250 W Bonita Ave Ste 250
Pomona, CA 91767-1864
Phone (909) 868-6800

Other identifiers 1

IdentifierTypeStateIssuer
00A490491MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090324000382 CA Part B Supplier - Clinic/Group Practice 1557428299 Receives reassigned benefits from 1 practitioner
Practice locations: Ontario, CA; Pomona, CA; Rancho Cucamonga, CA; Upland, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1215146576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W BONITA AVE STE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671864",
            "telephone_number": "909-868-6800",
            "fax_number": "909-256-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W BONITA AVE STE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671864",
            "telephone_number": "909-868-6800",
            "fax_number": "909-256-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINOD KUMAR GARG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "909-868-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A49049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A490491",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.