Individual provider Active NPI

Vighnesh Walavalkar, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • La Jolla, CA
National Provider Identifier
1215201983
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A118337 Issued in CA
Practice address
9500 Gilman Dr
La Jolla, CA 92093-5004
Phone
(858) 534-0455
NPI assigned
Feb 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A118337 CA Primary

Addresses

Primary practice location

9500 Gilman Dr
La Jolla, CA 92093-5004

Mailing address

18503 Linda Cir
Cerritos, CA 90703-6355

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
I20160706001548 CA Practitioner - Pathology 0244522506 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of California San FranciscoGroup PAC ID 4486567229, 1,780 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • UCSF Health St. Mary'S Hospital Hospital, San Francisco, CA, CCN 050457

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118337CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Sep 1, 2017 Accepting new patients
Regents of the University of California Current Accepting new patients
University of California SFGH Medical Group CurrentSince Sep 4, 2017 Accepting new patients
Regents of the University of California CurrentSince Jun 1, 2016 Accepting new patients
University of California San Francisco CurrentSince Sep 1, 2017 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 1, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 1, 2017 Accepting new patients
Regents of the University of California Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2016 Accepting new patients
University of California SFGH Medical Group CurrentSince Sep 4, 2017 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients

Locations

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

Organizations & group practices 11

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 5

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": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1215201983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18503 LINDA CIR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920935004",
            "telephone_number": "858-534-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALAVALKAR",
        "first_name": "VIGHNESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A118337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.