Vijayalakshmi Kambhampati

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017299 Issued in CA

Practice address

1805 E Fir Ave Ste 104
Fresno, CA 93720-3859

Phone

(908) 425-6922

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sundeep Grandhe MD Corporation

  dba Central Valley Pain Management

  • Interventional Pain Medicine Physician
  • Bakersfield, CA
  • NPI 1710743380
  Medicare reassignment NPD
• Central Valley Lifestyle Medicine, PC

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1326905126
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1245802602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 E FREDERICK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200533",
            "telephone_number": "908-425-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E FIR AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203859",
            "telephone_number": "908-425-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBHAMPATI",
        "first_name": "VIJAYALAKSHMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalwant S. Dhillon, M.D.
• Kalyani Shah, MD, Inc (Fresno Medical Specialists)
• Kamal Dental Inc
• Taylor Kamana
• Kelly Ann Kamara, LVN
• Aditi Kamboj
• Thomas James Kaminsky, D.C.
• Justin Isaac Kamkar, DO
• Pamela Kammen, M.D.
• Christopher Jon Kampfe Jr., PA-C

• Family Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.