Organization Active NPI

Kapadia Medical Corporation

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1699548719
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KAPADIA MEDICAL CORPORATION
Practice address
2000 W Washington Blvd
Los Angeles, CA 90018
Phone
(323) 212-5775
Fax
(226) 840-9359
NPI assigned
Oct 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Dr. Bhaveen KapadiaNPI 1518344548
Title
Owner
Phone
(323) 212-5775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2000 W Washington Blvd
Los Angeles, CA 90018

Mailing address

8581 Santa Monica Blvd # 460
West Hollywood, CA 90069-4120
Phone (323) 212-5775

Other names 1

  • Kapadia Medical Corporation Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240115000888 CA Part B Supplier - Clinic/Group Practice 8022460187 Receives reassigned benefits from 2 practitioners
Practice locations: Antioch, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

2000 W Washington Blvd
Los Angeles, CA 90018
Phone (323) 212-5775

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1699548719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8581 SANTA MONICA BLVD # 460",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694120",
            "telephone_number": "323-212-5775",
            "fax_number": "226-840-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90018",
            "telephone_number": "323-212-5775",
            "fax_number": "226-840-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPADIA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "KAPADIA",
        "authorized_official_first_name": "BHAVEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-212-5775",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kapadia Medical Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kapadia Medical Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.