Individual provider Active NPI

Nisha Chellam Vedamuthu, M.D.

  • Internal Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1689685927
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301061862 Issued in MI
Practice address
8550 Santa Monica Blvd FL 2
West Hollywood, CA 90069-4496
Phone
(909) 962-1260
NPI assigned
Aug 11, 2006
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 4301061862 MI Primary

Addresses

Primary practice location

8550 Santa Monica Blvd FL 2
West Hollywood, CA 90069-4496

Mailing address

8550 Santa Monica Blvd FL 2
West Hollywood, CA 90069-4496
Phone (909) 962-1260

Other practice location 1

600 Boulevard South SW Ste 104J
Huntsville, AL 35802-2175
Phone (833) 447-2775

Other practice location 2

17470 N Pacesetter Way
Scottsdale, AZ 85255-5445
Phone (833) 447-2775

Other practice location 3

5575 S Semoran Blvd Ste 36
Orlando, FL 32822-1782
Phone (833) 447-2775

Other practice location 4

500 N Michigan Ave Ste 536
Chicago, IL 60611-3755
Phone (833) 447-2775

Other practice location 5

300 N Dakota Ave Ste 116
Sioux Falls, SD 57104-6020
Phone (833) 447-2775

Other practice location 6

7014 13th Ave Ste 202
Brooklyn, NY 11228-1604
Phone (833) 447-2775

Other practice location 7

336 W 1st St Ste 113
Flint, MI 48502-1382
Phone (833) 447-2775

Other practice location 8

6959 Golden Ring Rd
Rosedale, MD 21237-3033
Phone (833) 447-2775

Other practice location 9

1709 N 19th St Ste 3
Bismarck, ND 58501-2121
Phone (833) 447-2775

Other practice location 10

14205 SE 36th St Ste 100
Bellevue, WA 98006-1553
Phone (833) 447-2775

Other practice location 11

1344 Cove Road
Welrton, WV 26062-1001
Phone (833) 447-2775

Other practice location 12

9900 Spectrum Dr
Austin, TX 78717-4555
Phone (833) 447-2775

Other practice location 13

1215 24th St W Ste 125
Billings, MT 59102-3895
Phone (833) 447-2775

Other practice location 14

6135 Park South Dr Ste 510
Charlotte, NC 28210-0100
Phone (833) 447-2775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parsley Medical Group FL PA PastSince Mar 12, 2024 Accepting new patients
Parsley Medical Group FL PA PastSince Mar 12, 2024 Accepting new patients
Meadowbrook Urgent Care PC Past Accepting new patients
Parsley Medical Group FL PA PastSince Mar 12, 2024 Accepting new patients
Parsley Medical Group FL PA PastSince Mar 12, 2024 Accepting new patients
Parsley Medical Group FL PA PastSince Jul 25, 2021 Accepting new patients
Parsley Medical Group FL PA PastSince Mar 12, 2024 Accepting new patients
Parsley Medical Group FL PA PastSince Mar 3, 2024 Accepting new patients
Parsley Medical PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nchellam60377@direct.hfhs.org

Organizations & group practices 9

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1689685927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 SANTA MONICA BLVD FL 2",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694496",
            "telephone_number": "909-962-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 SANTA MONICA BLVD FL 2",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694496",
            "telephone_number": "909-962-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Boulevard South SW Ste 104J",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358022175",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17470 N Pacesetter Way",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852555445",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5575 S Semoran Blvd Ste 36",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221782",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Michigan Ave Ste 536",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113755",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N Dakota Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571046020",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7014 13th Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112281604",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 W 1st St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485021382",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6959 Golden Ring Rd",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "MD",
            "postal_code": "212373033",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1709 N 19th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585012121",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14205 SE 36th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980061553",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1344 Cove Road",
            "address_purpose": "LOCATION",
            "city": "Welrton",
            "state": "WV",
            "postal_code": "260621001",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 Spectrum Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787174555",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 24th St W Ste 125",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591023895",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6135 Park South Dr Ste 510",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282100100",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHELLAM VEDAMUTHU",
        "first_name": "NISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301061862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.