Vidhyalakshmi Koka, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A60821 Issued in CA

Practice address

422 N San Jacinto St
Hemet, CA 92543-3124

Phone

(941) 665-1100

Fax

(888) 696-2590

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Vidhyalakshmi Tayi Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Pediatric Medicine

Education

Eastern Virginia Medical School, 1994

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Bradley Gardens Nursing home, San Jacinto, CA, CCN 055598
• San Jacinto Valley Post Acute Nursing home, Hemet, CA, CCN 055223

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: vidhyalakshmi.koka.p22@direct.kmsm.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1598703647

  General Practice

  Medicare reassignment Care Compare group NPD
• GK Urgi Care Inc

  • General Practice Physician
  • San Jacinto, CA
  • NPI 1801079892

  Family Medicine

  Medicare reassignment NPD
• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Beaumont, CA
  • NPI 1629601653

  General Practice

  NPD
• GK Urgi Care Inc

  • Family Medicine Physician
  • Hemet, CA
  • NPI 1023534328
  NPD (past)
• GK Urgi Care Inc

  • Family Medicine Physician
  • San Jacinto, CA
  • NPI 1093238107
  NPD (past)
• GK Urgi Care Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Hemet, CA
  • NPI 1669995924
  NPD (past)
• GK Urgi Care, Inc

  • Clinic/Center
  • San Jacinto, CA
  • NPI 1770768814
  NPD (past)
• GK Urgicare,Inc

  • Urgent Care Clinic/Center
  • San Jacinto, CA
  • NPI 1912175456
  NPD (past)
• Hemet Valley Medical Center

  • General Acute Care Hospital
  • Hemet, CA
  • NPI 1508939349
  NPD (past)
• Los Alamitos Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Los Alamitos, CA
  • NPI 1497780084
  NPD (past)
• Menifee Valley Medical Center

  • General Acute Care Hospital
  • Sun City, CA
  • NPI 1881781482
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• GHC of San Jacinto LLC

  • Skilled Nursing Facility
  • San Jacinto, CA
  • NPI 1881458966

  Nursing home

  Care Compare affiliation
• Hemet SNF Healthcare, LLC

  • Skilled Nursing Facility
  • Hemet, CA
  • NPI 1740978931

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1740349372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433124",
            "telephone_number": "941-665-1100",
            "fax_number": "888-696-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433124",
            "telephone_number": "941-665-1100",
            "fax_number": "888-696-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKA",
        "first_name": "VIDHYALAKSHMI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A60821",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A60821",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIDHYALAKSHMI",
            "last_name": "TAYI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Kay Knepfler, M.D.
• Anna Knight, FNP
• Rimel Knox
• Judith Y Ko, D.D.S.
• Maninder Kaur Kohli
• Kolli Medical Corporation
• Hemchand Kolli, M.D
• Afeefa Ashfaq Konchwalla, MD
• Sumana Kondle, MD, MSPH
• KPC Biotech, Inc

• Family Medicine Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.