Active NPI
Vikram Marfatia, M.D
- Hospitalist Physician
- Lakewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A63658
- Practice address
- 3300 E South St
Suite # 305
Lakewood, CA 90805-4549 - Phone
- (562) 817-5602
- Fax
- (562) 817-5605
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | A63658 | CA | Primary |
Addresses
Primary practice location
3300 E South St
Suite # 305
Lakewood, CA 90805-4549
Mailing address
PO Box 6768
Buena Park, CA 90622-6768
Phone (562) 814-5602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A636580 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7901 Walker St
La Palma, CA 90623-1722
Phone (714) 670-7400
Hospital & facility affiliations
- Memorialcare Long Beach Medical Center
- Memoriacare Long Beach Medical Center
- Pacific Care Nursing Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63658 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Specialists of California, PC | Hospitalist | Current | Accepting new patients |
| Memorialcare Medical Foundation | Hospitalist | Current | Accepting new patients |
| Rohun Medical Corporation | Specialist | Past | Accepting new patients |
| Dewitt Hospital & Nursing Home, Inc. | Past | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
Interoperability endpoints
- vmarfatiamd16164@direct.memorialcare.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Pacific Care Nursing Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 1, 2017 Aug 1, 2017 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1518954122
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1730427436
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
Hospitalist
-
- Specialist
- Lakewood, CA
- NPI 1154693307
-
- Rural Health Clinic/Center
- De Witt, AR
- NPI 1043276942
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1609825579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6768",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906226768",
"telephone_number": "562-814-5602",
"fax_number": "562-817-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 E SOUTH ST",
"address_2": "SUITE # 305",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "908054549",
"telephone_number": "562-817-5602",
"fax_number": "562-817-5605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARFATIA",
"first_name": "VIKRAM",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A63658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A636580",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.