Active NPI
Vijaykumar Ramchandra Kini, MD
- Radiation Oncology Physician
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A84739
- Practice address
- 2895 Edinger Ave
Tustin, CA 92780-7257 - Phone
- (949) 381-5800
- Fax
- (949) 552-5152
- NPI assigned
- Aug 26, 2005
- Last updated
- May 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | A84739 | CA | Primary |
Addresses
Primary practice location
2895 Edinger Ave
Tustin, CA 92780-7257
Mailing address
PO Box 101455
Pasadena, CA 91189-1455
Phone (949) 381-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A847390 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2895 Edinger Ave
Tustin, CA 92780-7257
Phone (949) 381-5800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84739 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vijay Kini MD. Inc. | Radiation Oncology | Current | Accepting new patients |
| Woodhouse & Karon, a Medical Corporation | Radiation Oncology | Current | Accepting new patients |
| Anaheim Memorial Medical Center | Past | Accepting new patients | |
| Valley Radiotherapy Associates Medical Group Inc | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| MCV Associated Physicians | Radiation Oncology | Past | Accepting new patients |
Locations
1211 W La Palma Ave
Anaheim, CA 92801
Phone (714) 288-8887
1211 W La Palma Ave
Ste 100
Anaheim, CA 92801
Phone (714) 956-1686
1211 W La Palma Ave
Ste 709
Anaheim, CA 92801
Phone (714) 808-9292
11190 Warner Ave
Ste 115
Fountain Vly, CA 92708
Phone (714) 210-0140
1605 Avocado Ave
Newport Beach, CA 92660
Phone (949) 760-3025
1301 N Rose Dr
Placentia, CA 92870
Phone (714) 524-4252
2895 Edinger Ave
Tustin, CA 92780
Phone (714) 776-7090
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
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.
-
dba Radiation Oncology Medical Group of Southern CA, Inc.
- Radiation Oncology Physician
- Tustin, CA
- NPI 1265463970
-
dba Radiation Oncology Medical Group of Southern CA, Inc.
- Radiation Oncology Physician
- Anaheim, CA
- NPI 1922044874
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
dba UCI Health - Placentia Linda
- General Acute Care Hospital
- Placentia, CA
- NPI 1700817756
-
- Specialist
- Manhattan Beach, CA
- NPI 1437102092
-
dba MCV Physicians
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
Radiation Oncology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1417940198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101455",
"city": "PASADENA",
"state": "CA",
"postal_code": "911891455",
"telephone_number": "949-381-5800",
"fax_number": "949-552-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2895 EDINGER AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927807257",
"telephone_number": "949-381-5800",
"fax_number": "949-552-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINI",
"first_name": "VIJAYKUMAR",
"middle_name": "RAMCHANDRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A84739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A847390",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.