Active NPI
Vijay K Garg, MD
- Cardiovascular Disease Physician
- Simi Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A35932
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060004628 | Other | RAILROAD MEDICARE | |
| 00A359320 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35932 | CA | MD | Cardiovascular Disease Physician |
| 35932 | CA | MD | Critical Care Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simi Family Medical Group | Current | Accepting new patients | |
| Vijay K Garg Inc | Cardiovascular Disease | Current | Accepting new patients |
| Modern Nuclear, Inc. | Current | 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.
-
- Cardiovascular Disease Physician
- Simi Valley, CA
- NPI 1932393352
-
- Nuclear Medicine Technology Radiologic Technologist
- La Habra, CA
- NPI 1063851335
-
- Family Medicine Physician
- Simi Valley, CA
- NPI 1689896375
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1033163019
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.
- 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.