NPIMap

Individual provider Active NPI

Willy Singh, D.O.

  • Nephrology Physician
  • Whittier, CA
National Provider Identifier
1265587075
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20A11778 Issued in CA
Practice address
12401 Washington Blvd
Whittier, CA 90602-1006
Phone
(562) 698-0811
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 5399 AZ
Nephrology Physician 207RN0300X 20A11778 CA Primary

Addresses

Primary practice location

12401 Washington Blvd
Whittier, CA 90602-1006

Mailing address

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

Other identifiers 1

IdentifierTypeStateIssuer
502403MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121121000550 CA Practitioner - Internal Medicine 8426174921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Kidney Specialists Medical CorporationGroup PAC ID 6507823556, 5 clinicians

Practice addresses (Care Compare)

101 E Beverly Blvd
Suite 304
Montebello, CA 90640-4316
Phone (323) 722-7418

Hospital & facility affiliations

  • DaVita Kenneth Hahn Plaza Dialysis Center Dialysis facility, Los Angeles, CA, CCN 052858
  • DaVita Bluff Rd Dialysis Dialysis facility, Montebello, CA, CCN 552773
  • DaVita Whittier Dialysis Dialysis facility, Whittier, CA, CCN 552509
  • SRS- la Mirada Dialysis facility, La Mirada, CA, CCN 552882
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393
  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
  • Whittier Hospital Medical Center Hospital, Whittier, CA, CCN 050735
  • Kindred Hospital -- la Mirada Long-term care hospital, La Mirada, CA, CCN 052038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5399AZMDNephrology Physician
20A11778CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Oct 16, 2012 Accepting new patients
Pih Health Physicians Current Accepting new patients
Kidney Specialists Medical Corporation Nephrology CurrentSince Aug 8, 2018 Accepting new patients
St Francis Medical Center Past Accepting new patients
Flagstaff Medical Center Past Accepting new patients
CHHP Holdings II, LLC Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Barlow Respiratory Hospital Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201
La Mirada, CA 90638
Phone (562) 903-7339

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

101 E Beverly Blvd
Ste 304
Montebello, CA 90640
Phone (323) 722-7418

15725 Whittier Blvd
Whittier, CA 90603
Phone (562) 448-1350

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

11147 Washington Blvd
Whittier, CA 90606
Phone (562) 695-0827

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: willy.singh@direct.davitaphysiciansolutions.com

Organizations & group practices 8

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 10

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1265587075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021006",
            "telephone_number": "562-698-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021006",
            "telephone_number": "562-698-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "WILLY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "5399",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "20A11778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502403",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.