Organization Active NPI

Komala Iyengar M.D.Inc

  • General Acute Care Hospital
  • Buena Park, CA
National Provider Identifier
1265496111
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A032976 Issued in CA
Legal business name
KOMALA IYENGAR M.D.INC
Practice address
7301 El Domino Way
#3
Buena Park, CA 90620-2652
Phone
(310) 916-7066
NPI assigned
Apr 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Komala Iyengar, M.D.,NPI 1225107949
Title
Anesthesiologist
Phone
(310) 916-7066

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
General Acute Care Hospital 282N00000X A032976 CA Primary

Addresses

Primary practice location

7301 El Domino Way
#3
Buena Park, CA 90620-2652

Mailing address

7301 El Domino Way
#3
Buena Park, CA 90620-2652
Phone (310) 916-7066

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": "1145059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265496111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 EL DOMINO WAY",
            "address_2": "#3",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202652",
            "telephone_number": "310-916-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 EL DOMINO WAY",
            "address_2": "#3",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202652",
            "telephone_number": "310-916-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMALA IYENGAR M.D.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IYENGAR",
        "authorized_official_first_name": "KOMALA",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "310-916-7066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A032976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.