Individual provider Active NPI

Vikram S Kothandaraman, M.D

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1720129141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A91809 Issued in CA
Practice address
2151 W 6TH St
Los Angeles, CA 90057-3121
Phone
(213) 483-2222
Fax
(213) 483-6161
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A91809 CA Primary

Addresses

Primary practice location

2151 W 6TH St
Los Angeles, CA 90057-3121

Mailing address

725 S Bixel St
Apt# 503B
Los Angeles, CA 90017-2438
Phone (310) 561-1399

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cathedral Medical Inc. CurrentSince Dec 29, 2019 Accepting new patients
County of Tulare Past Accepting new patients
Maria a Espinoza MD, Inc PastSince Sep 19, 2005 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

2226 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-4446

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBIEBD/Endpoint/JBIEBD

Organizations & group practices 4

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720129141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S BIXEL ST",
            "address_2": "APT# 503B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172438",
            "telephone_number": "310-561-1399",
            "fax_number": "310-561-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573121",
            "telephone_number": "213-483-2222",
            "fax_number": "213-483-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHANDARAMAN",
        "first_name": "VIKRAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A91809",
            "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 Jul 8, 2007; 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.