Sanjay Suresh Kawankar

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CP003404 Issued in DE

Practice address

2625 W Beverly Blvd
Montebello, CA 90640-2309

Phone

(323) 727-2887

Fax

(323) 727-2854

NPI assigned

Mar 4, 2008

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beverly Orthopedic Laboratory Inc

  • Prosthetic/Orthotic Supplier
  • Santa Ana, CA
  • NPI 1407449648
  NPD (past) Authorized official
• Beverly Orthopedic Laboratory Inc

  • Prosthetic/Orthotic Supplier
  • Montebello, CA
  • NPI 1558370023
  Authorized official Same address or phone
• Beverly Orthopedic Laboratory Inc

  • Prosthetic/Orthotic Supplier
  • Los Angeles, CA
  • NPI 1871179085
  NPD (past) Authorized official
• Beverly Orthopedic Laboratory Inc

  • Prosthetic/Orthotic Supplier
  • Lynwood, CA
  • NPI 1871186981
  NPD (past) Authorized official
• Beverly Orthopedic Laboratory Inc.

  • Prosthetic/Orthotic Supplier
  • Riverside, CA
  • NPI 1487359832
  Authorized official Same address or phone
• Upright Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Bellflower, CA
  • NPI 1851389563

  Orthotist

  NPD

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1689844813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402309",
            "telephone_number": "323-727-2887",
            "fax_number": "323-727-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402309",
            "telephone_number": "323-727-2887",
            "fax_number": "323-727-2854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Martin Luther King Jr Blvd Ste 335",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902623529",
            "country_code": "US",
            "telephone_number": "310-438-3645",
            "fax_number": "310-438-3699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 N Tustin Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053600",
            "country_code": "US",
            "telephone_number": "657-247-4301",
            "fax_number": "657-247-4320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 W Olympic Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900066512",
            "country_code": "US",
            "telephone_number": "213-351-3556",
            "fax_number": "213-351-3558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAWANKAR",
        "first_name": "SANJAY",
        "middle_name": "SURESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "DE",
            "license": "CP003404",
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "C22146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalyani Randeria, M.D. Inc
• Tyler Kang
• Kaplan Home Health, Inc.
• Karim Zaklama, D.D.S., Inc. (Montebello Smiles Dentistry)
• Kay Kawahara, DDS
• Keith C. Harada, D.D.S., Inc.
• Ara Kelekian, D.P.M.
• Kevin J. Pelton MD, Inc. (Los Angeles Orthopaedic Surgery Specialists)
• Amir Khan
• Deanna Yadao Khan, M.D.

• Prosthetics Case Management in Montebello, CA
• Providers in Montebello, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.