Organization Active NPI

Kailash Dhamija Walk in Medical Care a Medical Corporation

Doing business as Walk-in Medical Care

  • General Practice Physician
  • Artesia, CA
National Provider Identifier
1437375953
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A42292 Issued in CA
Legal business name
KAILASH DHAMIJA WALK IN MEDICAL CARE A MEDICAL CORPORATION
Doing business as
Walk-in Medical Care
Practice address
18326 Pioneer Blvd
Artesia, CA 90701-5533
Phone
(562) 860-5599
Fax
(562) 402-2214
NPI assigned
Apr 17, 2007
Last updated
Sep 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Dr. Kailash R Dhamija, RNNPI 1548209976
Title
Medical Director
Phone
(562) 860-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A42292 CA Primary

Addresses

Primary practice location

18326 Pioneer Blvd
Artesia, CA 90701-5533

Mailing address

18326 Pioneer Blvd
Artesia, CA 90701-5533
Phone (562) 860-5599

Other identifiers 1

IdentifierTypeStateIssuer
05D0906208OtherCACLIA

Other names 1

  • WALK-IN MEDICAL CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090724000624 CA Part B Supplier - Clinic/Group Practice 5395756860 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Artesia, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

18326 Pioneer Blvd
Artesia, CA 90701
Phone (310) 860-5599

3762 Atlantic Ave
Ste C
Long Beach, CA 90807
Phone (562) 303-3985

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1437375953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18326 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015533",
            "telephone_number": "562-860-5599",
            "fax_number": "562-402-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18326 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015533",
            "telephone_number": "562-860-5599",
            "fax_number": "562-402-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILASH DHAMIJA WALK IN MEDICAL CARE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "DHAMIJA",
        "authorized_official_first_name": "KAILASH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-860-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A42292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0906208",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALK-IN MEDICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.