Individual provider Active NPI

Pravin L Kapadia, MD

  • Allergy Physician
  • Norwalk, CA
National Provider Identifier
1629004528
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
A31025 Issued in CA
Practice address
11832 E. Rosecrans Ave., Suite 200
Norwalk, CA 90650-3251
Phone
(562) 864-4004
Fax
(562) 864-4959
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X A31025 CA Primary

Addresses

Primary practice location

11832 E. Rosecrans Ave., Suite 200
Norwalk, CA 90650-3251

Mailing address

11832 E. Rosecrans Ave., Suite 200
Norwalk, CA 90650-3266
Phone (562) 864-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A31025CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma Sinusitis Medical Clinic Inc Allergy PastSince Jan 2, 2018 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1629004528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11832 E. ROSECRANS AVE., SUITE 200",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503266",
            "telephone_number": "562-864-4004",
            "fax_number": "562-864-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11832 E. ROSECRANS AVE., SUITE 200",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503251",
            "telephone_number": "562-864-4004",
            "fax_number": "562-864-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPADIA",
        "first_name": "PRAVIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A31025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.