Organization Active NPI

Mayank J. Vakil, MD

  • Exclusive Provider Organization
  • Glendora, CA
National Provider Identifier
1548416050
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
A46053 Issued in CA
Legal business name
MAYANK J. VAKIL, MD
Practice address
130 W Route 66
Suite #302
Glendora, CA 91740-6249
Phone
(626) 335-7800
Fax
(626) 335-7833
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Dr. Mayank J. Vakil, M.D.
Title
Physician
Phone
(626) 335-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X A46053 CA Primary

Addresses

Primary practice location

130 W Route 66
Suite #302
Glendora, CA 91740-6249

Mailing address

216 S Citrus St # 322
#322
West Covina, CA 91791-2144
Phone (626) 335-7800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1548416050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S CITRUS ST # 322",
            "address_2": "#322",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912144",
            "telephone_number": "626-335-7800",
            "fax_number": "626-335-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66",
            "address_2": "SUITE #302",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406249",
            "telephone_number": "626-335-7800",
            "fax_number": "626-335-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYANK J. VAKIL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "VAKIL",
        "authorized_official_first_name": "MAYANK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-335-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "A46053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.