Vibhay Prasad, M.D., Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

G75764 Issued in CA

Legal business name

VIBHAY PRASAD, M.D., INC

Practice address

1220 La Venta Dr
Suite 104
Westlake Village, CA 91361-3703

Phone

(805) 496-4020

Fax

(805) 496-4030

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Vibhay Prasad, M.D.NPI 1447284948

Title

Owner

Phone

(805) 496-4020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vibhay Prasad, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Westlake Village, CA
  • NPI 1447284948
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1487687661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90125",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908090125",
            "telephone_number": "800-404-2353",
            "fax_number": "562-795-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LA VENTA DR",
            "address_2": "SUITE 104",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613703",
            "telephone_number": "805-496-4020",
            "fax_number": "805-496-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBHAY PRASAD, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "VIBHAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-496-4020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G75764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G757640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.