Individual provider Active NPI

Arun K Mittal, M.D.

  • Vascular Surgery Physician
  • Torrance, CA
National Provider Identifier
1750579587
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A24691 Issued in CA
Practice address
21350 Hawthorne Blvd
Suite 270
Torrance, CA 90503-5605
Phone
(310) 792-5428
Fax
(310) 792-5358
NPI assigned
Oct 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A24691 CA Primary

Addresses

Primary practice location

21350 Hawthorne Blvd
Suite 270
Torrance, CA 90503-5605

Mailing address

21350 Hawthorne Blvd
Suite 270
Torrance, CA 90503-5605
Phone (310) 792-5428

Other identifiers 1

IdentifierTypeStateIssuer
00A246910MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100210000234 CA Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 8022151265 Practice locations: Torrance, CA; Gardena, CA; Long Beach, CA; Carson, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health System Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1750579587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21350 HAWTHORNE BLVD",
            "address_2": "SUITE 270",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035605",
            "telephone_number": "310-792-5428",
            "fax_number": "310-792-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21350 HAWTHORNE BLVD",
            "address_2": "SUITE 270",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035605",
            "telephone_number": "310-792-5428",
            "fax_number": "310-792-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "ARUN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A24691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A246910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.