Vijay Krishna Kuppurajan

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A183031 Issued in CA

Practice address

707 Palm Ave
Imperial Beach, CA 91932-1229

Phone

(619) 429-7700

Fax

(619) 429-7703

NPI assigned

May 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advantage Health Systems Home health agency, San Diego, CA, CCN 058355
• Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
• Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234
• Castle Manor Nursing & Rehabilitation Center Nursing home, National City, CA, CCN 555263

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• VN Healthy Living Medical Group Inc

  • Internal Medicine Physician
  • Imperial Beach, CA
  • NPI 1154030955
  Medicare reassignment NPD Authorized official
• Medical Wellness Doc Inc

  • Internal Medicine Physician
  • Chula Vista, CA
  • NPI 1780577577
  Medicare reassignment NPD
• Longview Medical Center LP

  dba Longview Regional Medical Center

  • Certified Registered Nurse Anesthetist
  • Longview, TX
  • NPI 1508824038
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advantage Health Systems

  • Home Health Agency
  • San Diego, CA
  • NPI 1538225313
  Care Compare affiliation
• GHC of National City II, LLC

  dba Castle Manor Convalescent Center

  • Skilled Nursing Facility
  • National City, CA
  • NPI 1497759856

  Nursing home

  Care Compare affiliation
• Sharp Chula Vista Medical Center

  • General Acute Care Hospital
  • Chula Vista, CA
  • NPI 1396728630
  Care Compare affiliation
• Sharp Coronado Hospital and Healthcare Center

  dba Sharp Coronado Hospital

  • General Acute Care Hospital
  • Coronado, CA
  • NPI 1154304475
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1326669060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PALM AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321229",
            "telephone_number": "619-429-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PALM AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321229",
            "telephone_number": "619-429-7700",
            "fax_number": "619-429-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPURAJAN",
        "first_name": "VIJAY",
        "middle_name": "KRISHNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A183031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Kantas, FNP-BC
• Prachi Karande, DPT
• Alison Kempter Diaz, LCSW
• Brenna Kathryn Kilrain
• Shannen Kinsey
• L'Abbe and Berkenfield Medical Corporation
• Peter Lecke, L.AC.
• Eric John Leute, MD
• Isabella Lydia Lopez, RADT I
• Melissa Lozano Morales, SUDRC

• Internal Medicine Physician in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.