Vijay M Dhawan, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

A32299 Issued in CA

Practice address

3420 W Beverly Blvd
Montebello, CA 90640-1539

Phone

(323) 721-9411

Fax

(323) 887-4932

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Vijay M Dhawan M.D. Inc

  • Adolescent Medicine (Internal Medicine) Physician
  • Montebello, CA
  • NPI 1306859046

  Geriatric Medicine

  Medicare reassignment NPD Authorized official
• Montebello Artificial Kidney Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montebello, CA
  • NPI 1790960060
  NPD Authorized official
• Universal Artificial Kidney Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Los Angeles, CA
  • NPI 1104489509
  NPD Authorized official

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1760426415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401539",
            "telephone_number": "323-721-9411",
            "fax_number": "323-887-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401539",
            "telephone_number": "323-721-9411",
            "fax_number": "323-887-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "VIJAY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A32299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A322990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dentalville
• Derhartounian Dental Corporation
• Harmik Derhartounian, DDS
• Kamlesh Taneja Dhawan, MD
• Rahul Dhawan, D.O.
• Prarthana Dhotre, DR.
• Diamond Respiratory Care, Inc.
• Karla Lisette Diaz
• Monique Diaz
• Dominic Phan Diconti

• Geriatric Medicine (Internal Medicine) Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.