Individual provider Active NPI

Aparna Kaleeckal Rajalakshmi, M.B.B.S.

  • Pediatrics Physician
  • Lancaster, CA
National Provider Identifier
1639790843
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A187845 Issued in CA
Practice address
45124 10TH St W
Lancaster, CA 93534-2310
Phone
(562) 867-7999
Fax
(631) 376-3420
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A187845 CA Primary

Addresses

Primary practice location

45124 10TH St W
Lancaster, CA 93534-2310

Mailing address

5650 Jillson St
Commerce, CA 90040-1482
Phone (323) 201-4516

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011003204 CA Practitioner - Pediatric Medicine 2567817588 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A187845CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JWCH Institute Inc CurrentSince Aug 21, 2023 Accepting new patients
JWCH Institute, Inc. CurrentSince Aug 21, 2023 Accepting new patients
JWCH Institute Inc Current Accepting new patients
JWCH Institute, Inc. Past Accepting new patients

Locations

5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186

45124 10th St W
Lancaster, CA 93534
Phone (661) 941-9543

45104 10th St W
Lancaster, CA 93534
Phone (661) 941-9543

954 N Vermont Ave
Los Angeles, CA 90029
Phone (323) 454-4850

12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305

Interoperability endpoints

  • Direct secure messaging: aparna.kaleeckalrajalakshmimd.p1@direct.jwch.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1639790843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 JILLSON ST",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401482",
            "telephone_number": "323-201-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45124 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342310",
            "telephone_number": "562-867-7999",
            "fax_number": "631-376-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEECKAL RAJALAKSHMI",
        "first_name": "APARNA",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A187845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.