Organization Active NPI

Vaijayanti S Koldhekar MD Inc

  • Pediatrics Physician
  • Duarte, CA
National Provider Identifier
1366538993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A43547 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.