Active NPI
Kirankumar Vyas, M.D.
- Anesthesiology Physician
- Lakewood, CA
National Provider Identifier
1326091679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A41194
- Practice address
- 3300 E South St Ste 107
Lakewood, CA 90805-4549 - Phone
- (562) 531-2020
- Fax
- (562) 407-2082
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A41194 | CA | Primary |
Addresses
Primary practice location
3300 E South St Ste 107
Lakewood, CA 90805-4549
Mailing address
PO Box 4259
Cerritos, CA 90703-4259
Phone (562) 407-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A41194 | Other | CA | STATE LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111122000905 | CA | Practitioner - Anesthesiology | 9638343908 | Practice locations: Long Beach, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A41194 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1326091679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4259",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907034259",
"telephone_number": "562-407-2080",
"fax_number": "562-407-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 E SOUTH ST STE 107",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "908054549",
"telephone_number": "562-531-2020",
"fax_number": "562-407-2082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VYAS",
"first_name": "KIRANKUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A41194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A41194",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.