Organization Active NPI

Avinash M Mondkar MD a Medical Corp

  • Cardiovascular Disease Physician
  • Beverly Hills, CA
National Provider Identifier
1275684342
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A35142 Issued in CA
Legal business name
AVINASH M MONDKAR MD A MEDICAL CORP
Practice address
9777 Wilshire Blvd Ste 510
Beverly Hills, CA 90212-1910
Phone
(310) 657-1995
Fax
(310) 657-5311
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Dr. Avinash M. Mondkar, M.D.NPI 1316956899
Title
President
Phone
(310) 657-1995

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A35142 CA Primary

Addresses

Primary practice location

9777 Wilshire Blvd Ste 510
Beverly Hills, CA 90212-1910

Mailing address

8641 Wilshire Blvd Ste 220
Beverly Hills, CA 90211-2920
Phone (310) 657-1995

Other identifiers 2

IdentifierTypeStateIssuer
00A351420MedicaidCA
ZZZ04627ZOtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050721000926 CA Part B Supplier - Clinic/Group Practice 4183651052 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Beverly Hills, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

8641 Wilshire Blvd
Ste 220
Beverly Hills, CA 90211
Phone (310) 657-1995

9777 Wilshire Blvd
Ste 510
Beverly Hills, CA 90212
Phone (310) 499-2684

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1275684342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD STE 220",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112920",
            "telephone_number": "310-657-1995",
            "fax_number": "310-657-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 510",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121910",
            "telephone_number": "310-657-1995",
            "fax_number": "310-657-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVINASH M MONDKAR MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "MONDKAR",
        "authorized_official_first_name": "AVINASH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-657-1995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A35142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A351420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ04627Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.