Active NPI
Jitendra Vasandani, MD PA
- Rheumatology Physician
- Lubbock, TX
National Provider Identifier
1396442869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- JITENDRA VASANDANI, MD PA
- Practice address
- 10705 Milwaukee Avenue
Lubbock, TX 79424-6153 - Phone
- (806) 740-3325
- NPI assigned
- Feb 14, 2023
- Last updated
- Feb 14, 2023
- 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
- Bianca Williams
- Title
- Credentialing Coordinator
- Phone
- (561) 320-0993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
10705 Milwaukee Avenue
Lubbock, TX 79424-6153
Mailing address
10705 Milwaukee Avenue
Lubbock, TX 79424-6153
Phone (806) 744-7223
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2163895 | Jitendra Vasandani MD, PA Dba West Texas Clinical | Certificate of waiver | Mar 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
10705 Milwaukee Ave
Lubbock, TX 79424
Phone (806) 701-5210
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Lubbock, TX
- NPI 1144692823
-
- Rheumatology Physician
- Lubbock, TX
- NPI 1194707406
-
- Medical Physician Assistant
- Lubbock, TX
- NPI 1386091775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676332800000",
"number": "1396442869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10705 MILWAUKEE AVENUE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794246153",
"telephone_number": "806-744-7223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10705 MILWAUKEE AVENUE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794246153",
"telephone_number": "806-740-3325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JITENDRA VASANDANI, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BIANCA",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "561-320-0993"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.