Individual provider Active NPI

Vyshnav Rajagopal Menon, M.D

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1710773056
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Centinella Hospital Medical Center, Program Internal Me
555 E Hardy St, Inglewood
Los Angeles, CA 90301
Phone
(310) 673-4660
NPI assigned
Apr 15, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

Centinella Hospital Medical Center, Program Internal Me
555 E Hardy St, Inglewood
Los Angeles, CA 90301

Mailing address

Centinella Hospital Medical Center, Program Internal Me
555 E Hardy St, Inglewood
Los Angeles, CA 90301
Phone (310) 673-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1710773056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTINELLA HOSPITAL MEDICAL CENTER, PROGRAM INTERNAL ME",
            "address_2": "555 E HARDY ST, INGLEWOOD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "310-673-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTINELLA HOSPITAL MEDICAL CENTER, PROGRAM INTERNAL ME",
            "address_2": "555 E HARDY ST, INGLEWOOD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "310-673-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "VYSHNAV",
        "middle_name": "RAJAGOPAL",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 28, 2025; 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.