Organization Active NPI

Vijay V Kamdar, MD, Inc

  • Pulmonary Disease Physician
  • Downey, CA
National Provider Identifier
1508832007
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A39486 Issued in CA
Legal business name
VIJAY V KAMDAR, MD, INC
Practice address
11411 Brookshire Ave Ste 501
Downey, CA 90241-5007
Phone
(562) 861-5533
Fax
(562) 861-5535
NPI assigned
Feb 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Vijay V Kamdar, MD
Title
Owner
Phone
(310) 632-3737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A39486 CA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X A39486 CA Primary

Addresses

Primary practice location

11411 Brookshire Ave Ste 501
Downey, CA 90241-5007

Mailing address

PO Box 3279
Palos Verdes Penninsula, CA 90274-9279
Phone (562) 861-5533

Other identifiers 1

IdentifierTypeStateIssuer
OOA394861MedicaidCA

National Provider Directory

National Provider Directory

Locations

11411 Brookshire Ave
Ste 5
Downey, CA 90241
Phone (562) 861-5533

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1508832007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3279",
            "city": "PALOS VERDES PENNINSULA",
            "state": "CA",
            "postal_code": "902749279",
            "telephone_number": "562-861-5533",
            "fax_number": "562-861-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVE STE 501",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415007",
            "telephone_number": "562-861-5533",
            "fax_number": "562-861-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY V KAMDAR, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "KAMDAR",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-632-3737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A39486",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A39486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA394861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.