Active NPI
Vaijayanti S Koldhekar MD Inc
- Pediatrics Physician
- Duarte, CA
National Provider Identifier
1366538993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A43547
- Legal business name
- VAIJAYANTI S KOLDHEKAR MD INC
- Practice address
- 931 Buena Vista # 302
Duarte, CA 91010 - Phone
- (626) 303-2541
- Fax
- (626) 358-5572
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vaijayanti S Koldhekar, MD
- Title
- President
- Phone
- (626) 303-2541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A43547 | CA | Primary |
Addresses
Primary practice location
931 Buena Vista # 302
Duarte, CA 91010
Mailing address
931 Buena Vista # 302
Duarte, CA 91010
Phone (626) 303-2541
National Provider Directory
National Provider DirectoryLocations
931 Buena Vista St
Ste 302
Duarte, CA 91010
Phone (201) 234-9238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366538993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 BUENA VISTA # 302",
"city": "DUARTE",
"state": "CA",
"postal_code": "91010",
"telephone_number": "626-303-2541",
"fax_number": "626-358-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 BUENA VISTA # 302",
"city": "DUARTE",
"state": "CA",
"postal_code": "91010",
"telephone_number": "626-303-2541",
"fax_number": "626-358-5572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAIJAYANTI S KOLDHEKAR MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOLDHEKAR",
"authorized_official_first_name": "VAIJAYANTI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-303-2541",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A43547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.