Individual provider Active NPI

Vivian Magdi Gindi, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1679788764
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A95838 Issued in CA
Practice address
1110 N Western Ave Ste 201
Los Angeles, CA 90029-1087
Phone
(323) 463-6881
Fax
(323) 463-6831
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A95838 CA Primary

Addresses

Primary practice location

1110 N Western Ave Ste 201
Los Angeles, CA 90029-1087

Mailing address

1110 N Western Ave Ste 201
Los Angeles, CA 90029-1087
Phone (323) 463-6881

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
I20130201000299 CA Practitioner - Internal Medicine 1052565843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hollywood Cross Medical ClinicGroup PAC ID 9335217868, 2 clinicians

Practice addresses (Care Compare)

1110 N Western Ave
Suite 201
Los Angeles, CA 90029-1087
Phone (323) 463-6881

Hospital & facility affiliations

  • Golden Century Home Health Care, Inc Home health agency, Burbank, CA, CCN 059292
  • Supreme Home Health Care Inc Home health agency, Los Angeles, CA, CCN 758052

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hollywood Cross Medical Clinic Health Service CurrentSince Dec 19, 2012 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1110 N Western Ave
Ste 201
Los Angeles, CA 90029
Phone (323) 463-6881

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1679788764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N WESTERN AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291087",
            "telephone_number": "323-463-6881",
            "fax_number": "323-463-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N WESTERN AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291087",
            "telephone_number": "323-463-6881",
            "fax_number": "323-463-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINDI",
        "first_name": "VIVIAN",
        "middle_name": "MAGDI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A95838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.