Abhay Vaidya, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A36301 Issued in CA

Practice address

399 E 21St St
San Bernardino, CA 92404-4815

Phone

(909) 882-2266

Fax

(909) 882-2266

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Abhaykumar Damodar Vaidya Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Desert Advanced Imaging Medical Center

  • Diagnostic Radiology Physician
  • Palm Desert, CA
  • NPI 1568416147
  NPD (past)
• Pacific Imaging Consultants, a Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Oakland, CA
  • NPI 1265480099
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Diagnostic Radiology Physician
  • Glasgow, MT
  • NPI 1013021500
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Geisinger Clinic

  • Family Medicine Physician
  • Scranton, PA
  • NPI 1184248668
  NPD (past)
• Geisinger Clinic Selinsgrove

  • Family Medicine Physician
  • Selinsgrove, PA
  • NPI 1780642165

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1669405692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044815",
            "telephone_number": "909-882-2266",
            "fax_number": "909-881-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044815",
            "telephone_number": "909-882-2266",
            "fax_number": "909-882-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "ABHAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A36301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABHAYKUMAR",
            "last_name": "VAIDYA",
            "middle_name": "DAMODAR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• US Healthcare Inc
• Nirma Usher, NP
• Marianne Guintu Usi, NP
• Eva Ussher, LVN
• Sarrine Seda Uy
• Nuttacha Vaitayavijit, LMFT
• Andrea Reynoso Valadez
• Victoria Irene Valadez
• Natalie Aliana Valdepena, ACSW
• Jetza Sarai Valdez de la Rosa, ACSW

• Diagnostic Radiology Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.