Individual provider Active NPI

Vijay K Garg, MD

  • Cardiovascular Disease Physician
  • Simi Valley, CA
National Provider Identifier
1790708782
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A35932 Issued in CA
Practice address
142 Macaw LN
Simi Valley, CA 93065-3152
Phone
(805) 522-3811
Fax
(805) 522-2115
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A35932 CA Primary

Addresses

Primary practice location

142 Macaw LN
Simi Valley, CA 93065-3152

Mailing address

142 Macaw LN
Simi Valley, CA 93065-3152
Phone (805) 522-3811

Other identifiers 2

IdentifierTypeStateIssuer
060004628OtherRAILROAD MEDICARE
00A359320MedicaidCA

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
I20100217000773 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466596291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

142 Macaw LN
Simi Valley, CA 93065-3152
Phone (805) 522-3811

1687 Erringer Rd
Suite 211
Simi Valley, CA 93065-6510

65 W Easy St
Suite 204
Simi Valley, CA 93065-6273

Hospital & facility affiliations

  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A35932CAMDCardiovascular Disease Physician
35932CAMDCritical Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Simi Family Medical Group Current Accepting new patients
Vijay K Garg Inc Cardiovascular Disease CurrentSince Jul 15, 2020 Accepting new patients
Modern Nuclear, Inc. CurrentSince May 14, 2024 Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients

Locations

142 Macaw Ln
Simi Valley, CA 93065
Phone (805) 522-3811

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

1204 E Thousand Oaks Blvd
Thousand Oaks, CA 91362
Phone (805) 370-4405

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1790708782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MACAW LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653152",
            "telephone_number": "805-522-3811",
            "fax_number": "805-522-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MACAW LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653152",
            "telephone_number": "805-522-3811",
            "fax_number": "805-522-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "VIJAY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A35932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060004628",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A359320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.