Vir K Nanda MD Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

A388830 Issued in CA

Legal business name

VIR K NANDA MD INC

Doing business as

Vir K Nanda MD

Practice address

12998 Hesperia Rd Ste 204
Victorville, CA 92395-8317

Phone

(760) 780-4960

Fax

(760) 780-4964

NPI assigned

Jun 8, 2005

Last updated

Aug 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vir Kumar Nanda, MDNPI 1386841963

Title

President

Phone

(760) 780-4960

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• VIR K NANDA MD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vir Kumar Nanda, MD

  • Hematology & Oncology Physician
  • Victorville, CA
  • NPI 1386841963
  Authorized official Same address or phone

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1710981733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12998 HESPERIA RD STE 204",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958317",
            "telephone_number": "760-780-4960",
            "fax_number": "760-780-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12998 HESPERIA RD STE 204",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958317",
            "telephone_number": "760-780-4960",
            "fax_number": "760-780-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIR K NANDA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "NANDA",
        "authorized_official_first_name": "VIR",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-780-4960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A388830",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A388830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A388830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME PROVIDER",
            "identifier": "0862090001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5628485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIR K NANDA MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIR K NANDA MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hematology & Oncology Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.