Individual provider Active NPI

Avinash M Mondkar, M.D.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1316956899
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A35142 Issued in CA
Practice address
2080 Century Park E Ste 704
Los Angeles, CA 90067-2010
Phone
(310) 657-1995
Fax
(866) 431-8496
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A35142 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 704
Los Angeles, CA 90067-2010

Mailing address

2080 Century Park E Ste 704
Los Angeles, CA 90067-2010
Phone (310) 657-1995

Other identifiers 3

IdentifierTypeStateIssuer
00A351420MedicaidCA
P00736288OtherPALMETTO GBA RAILROAD MEDICARE/NORTHERN CA
756063687OtherPALMETTO GBA RAILROAD MEDICARE/SOUTHERN CA

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
I20070501000463 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719083104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1971
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9777 Wilshire Blvd
Suite 510
Beverly Hills, CA 90212-1910
Phone (310) 657-1995

9777 Wilshire Blvd
Suite 807
Beverly Hills, CA 90212-1908

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35142CAMDChiropractor
A35142CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avinash M Mondkar MD a Medical Corp Cardiovascular Disease CurrentSince Apr 7, 1980 Accepting new patients
Sienna Medical Corporation Past Accepting new patients

Locations

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

99 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (310) 657-1995

9777 Wilshire Blvd
Ste 807
Beverly Hills, CA 90212
Phone (310) 657-1995

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

Organizations & group practices 2

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 4

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1316956899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 704",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672010",
            "telephone_number": "310-657-1995",
            "fax_number": "866-431-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 704",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672010",
            "telephone_number": "310-657-1995",
            "fax_number": "866-431-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDKAR",
        "first_name": "AVINASH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_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": "PALMETTO GBA RAILROAD MEDICARE/NORTHERN CA",
            "identifier": "P00736288",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE/SOUTHERN CA",
            "identifier": "756063687",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.