NPIMap

Individual provider Active NPI

Vijay Kumar, MD,FCCP

  • Specialist
  • Simi Valley, CA
National Provider Identifier
1689638587
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A46673 Issued in CA
Practice address
1174 Amazon Way
Simi Valley, CA 93065-3156
Phone
(805) 527-5878
Fax
(805) 527-0114
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A46673 CA Primary

Addresses

Primary practice location

1174 Amazon Way
Simi Valley, CA 93065-3156

Mailing address

1174 Amazon Way
Simi Valley, CA 93065-3156
Phone (805) 527-5878

Other identifiers 13

IdentifierTypeStateIssuer
1811024805OtherCANPI - CORPORATION TYPE 2
CMCSUBK0SOtherCAMCAL SUBMITTER NUMBER
CMCSUBK0SMedicaidCA
1811024805OtherCACORPORATION NPI
000022516OtherCAMEDICARE SUBMITTER NUMBER
1689638587OtherCANPI - INDIVIDUAL PROFESSIONAL TYPE 1
W15531OtherCAMEDICARE (PTAN) PROVIDER NUMBER
00A466730MedicaidCA
A46673OtherCASTATE LICENSE
GF413ZOtherCAMEDICARE TYPE 1 PTAN EFFECT 6/27/2012
W15531OtherCAMEDICARE PTAN DEACTIVATED 6/26/2012
00A466730OtherCABLUE SHIELD
GE519AOtherCAMEDICARE TYPE 2 PTAN EFFECT 6/27/2012

Other names 1

  • Vijay Kumar Kundal Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000371 CA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7517043714 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1174 Amazon Way
Simi Valley, CA 93065-3156

Hospital & facility affiliations

  • Divine Care Home Health Services Inc Home health agency, Simi Valley, CA, CCN 058491
  • GMM Home Health Care, Inc Home health agency, Burbank, CA, CCN 757029
  • Valrose Home Health, Inc Home health agency, Canoga Park, CA, CCN 059187
  • Horizon Health Care Systems, Inc Home health agency, Simi Valley, CA, CCN 059321
  • Comfort Home Health Inc Home health agency, Simi Valley, CA, CCN 559418
  • Ultimate Great Care Hospice Inc Hospice, Simi Valley, CA, CCN 551627
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Thousand Oaks Post Acute, LLC Nursing home, Thousand Oaks, CA, CCN 055342
  • Simi Healthcare Center Nursing home, Simi Valley, CA, CCN 555701
  • Sherwood Oaks Post Acute Nursing home, Thousand Oaks, CA, CCN 555794
  • Chatsworth Park Health Care Center Nursing home, Chatsworth, CA, CCN 056351

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32580CAMDMarriage & Family Therapist
A46673CAMDSpecialist

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Ultimate Great Care Hospice Inc. Family Medicine Current Accepting new patients
Intensive Care Medical Specialists Inc CurrentSince May 21, 2016 Accepting new patients
Vijay Kumar MD Medical Corporation Specialist CurrentSince Jan 1, 2000 Accepting new patients
Vista Critical Care Associates Inc CurrentSince Jun 2, 2025 Accepting new patients
West Hills Hospital Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

1511 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 637-2200

1174 Amazon Way
Simi Valley, CA 93065
Phone (805) 527-5878

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

1177 Roadrunner Way
Simi Valley, CA 93065
Phone (805) 520-1577

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
California Nurses Home Health ServicesGranada Hills, CA, CCN 058034 Home health agency Contracted Managing Employee
Corporate Director		 Jul 24, 2006
Jul 24, 2006
Ugc HospiceSimi Valley, CA, CCN 551627 Hospice 5% Or Greater Direct Ownership Interest (15%)
Corporate Officer (15%)
Corporate Director (15%)
W-2 Managing Employee (15%)		 Jun 1, 2025
Jun 1, 2025
Jun 1, 2025
Dec 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 12

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1689638587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 AMAZON WAY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653156",
            "telephone_number": "805-527-5878",
            "fax_number": "805-527-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 AMAZON WAY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653156",
            "telephone_number": "805-527-5878",
            "fax_number": "805-527-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "MD,FCCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A46673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - CORPORATION TYPE 2",
            "identifier": "1811024805",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCAL SUBMITTER NUMBER",
            "identifier": "CMCSUBK0S",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMCSUBK0S",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NPI",
            "identifier": "1811024805",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUBMITTER NUMBER",
            "identifier": "000022516",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - INDIVIDUAL PROFESSIONAL TYPE 1",
            "identifier": "1689638587",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (PTAN) PROVIDER NUMBER",
            "identifier": "W15531",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A466730",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A46673",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TYPE 1 PTAN EFFECT 6/27/2012",
            "identifier": "GF413Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN DEACTIVATED 6/26/2012",
            "identifier": "W15531",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A466730",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TYPE 2 PTAN EFFECT 6/27/2012",
            "identifier": "GE519A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIJAY",
            "last_name": "KUNDAL",
            "middle_name": "KUMAR",
            "credential": "MD,FCCP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.