Organization Active NPI

Hira L Jindal M D Inc

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1790014090
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A26281 Issued in CA
Legal business name
HIRA L JINDAL M D INC
Practice address
711 W College St Ste 590
Los Angeles, CA 90012-1256
Phone
(213) 680-9190
Fax
(213) 680-0246
NPI assigned
Dec 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Hira L Jindal, M.D. INC.NPI 1164539433
Title
President
Phone
(213) 680-9190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X A26281 CA Primary

Addresses

Primary practice location

711 W College St Ste 590
Los Angeles, CA 90012-1256

Mailing address

711 W College St Ste 590
Los Angeles, CA 90012-1256
Phone (213) 680-9190

Other identifiers 1

IdentifierTypeStateIssuer
00A262810MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100514000285 CA Part B Supplier - Clinic/Group Practice 6901934736 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

711 W College St
Ste 590
Los Angeles, CA 90012
Phone (213) 680-9190

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1790014090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST STE 590",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121256",
            "telephone_number": "213-680-9190",
            "fax_number": "213-680-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST STE 590",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121256",
            "telephone_number": "213-680-9190",
            "fax_number": "213-680-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIRA L JINDAL M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "JINDAL",
        "authorized_official_first_name": "HIRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-680-9190",
        "authorized_official_credential": "M.D. INC."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A26281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A262810",
            "state": "CA"
        }
    ],
    "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 May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.