Organization Active NPI

Gopal Govindarajan MD Inc

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1346461332
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
GOPAL GOVINDARAJAN MD INC
Practice address
1640 W 3Rd St
Los Angeles, CA 90017-1102
Phone
(213) 483-1251
Fax
(213) 483-8577
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Rajagopalan Govindarajan, MD
Title
President
Phone
(323) 728-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1640 W 3Rd St
Los Angeles, CA 90017-1102

Mailing address

101 E Beverly Blvd
Suite 302
Montebello, CA 90640-4300
Phone (323) 728-8181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100910000780 CA Part B Supplier - Clinic/Group Practice 3870618051 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA; Montebello, CA

National Provider Directory

National Provider Directory

Locations

101 E Beverly Blvd
Ste 302
Montebello, CA 90640
Phone (213) 728-8181

Practitioners & affiliated clinicians

Practitioners 2

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1346461332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "address_2": "SUITE 302",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404300",
            "telephone_number": "323-728-8181",
            "fax_number": "323-724-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171102",
            "telephone_number": "213-483-1251",
            "fax_number": "213-483-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOPAL GOVINDARAJAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "GOVINDARAJAN",
        "authorized_official_first_name": "RAJAGOPALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-728-8181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.