Active NPI
Kavita Surti MD Inc
- Ophthalmology Physician
- Covina, CA
National Provider Identifier
1437480571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- KAVITA SURTI MD INC
- Practice address
- 475 W Badillo St
Covina, CA 91723-1834 - Phone
- (626) 732-2200
- Fax
- (626) 732-2900
- NPI assigned
- Jan 28, 2010
- 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
- Dr. Kavita Surti, MD
- Title
- Medical Director
- Phone
- (909) 636-3630
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | CA | Primary |
Addresses
Primary practice location
475 W Badillo St
Covina, CA 91723-1834
Mailing address
475 W Badillo St
Covina, CA 91723-1834
Phone (626) 732-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Covina, CA
- NPI 1285732727
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1275853608
-
- Optometrist
- Orange, CA
- NPI 1285250415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286928000000",
"number": "1437480571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917231834",
"telephone_number": "626-732-2200",
"fax_number": "626-732-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917231834",
"telephone_number": "626-732-2200",
"fax_number": "626-732-2900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAVITA SURTI MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-28",
"last_updated": "2010-10-13",
"status": "A",
"authorized_official_last_name": "SURTI",
"authorized_official_first_name": "KAVITA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "909-636-3630",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.