Individual provider Active NPI

Vishakalakshmi Subbiah, M.D.,

  • Adult Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1790906568
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A97861 Issued in CA
Practice address
7515 Van Nuys Blvd
Van Nuys, CA 91405-1949
Phone
(818) 947-4026
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X A97861 CA Primary

Addresses

Primary practice location

7515 Van Nuys Blvd
Van Nuys, CA 91405-1949

Mailing address

7515 Van Nuys Blvd
Van Nuys, CA 91405-1949
Phone (818) 947-4026

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
I20071008000292 CA Practitioner - Family PracticePractitioner - Emergency Medicine 9234224122 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Los Angeles County Department of Public HealthGroup PAC ID 3072966621, 40 clinicians
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians
Northeast Valley Health CorporationGroup PAC ID 3173517323, 77 clinicians

Practice addresses (Care Compare)

11833 Wilmington Ave
Los Angeles, CA 90059-3015
Phone (323) 568-8100

1212 Pico St
San Fernando, CA 91340-3503
Phone (818) 627-3050

12756 Van Nuys Blvd
Pacoima, CA 91331-1626
Phone (818) 896-0531

7107 Remmet Ave
Canoga Park, CA 91303-2016
Phone (818) 340-3570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97861CAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Aug 20, 2016 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Aug 20, 2016 Accepting new patients
Northeast Valley Health Corporation CurrentSince Aug 20, 2016 Accepting new patients
Los Angeles County Department of Public Health CurrentSince Nov 15, 2023 Accepting new patients
Northeast Valley Health Corporation CurrentSince Aug 20, 2016 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
County of Los Angeles PastSince Sep 20, 2020 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

5555 Ferguson Dr
Ste 10050
Commerce, CA 90022
Phone (213) 240-8220

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

335 E Avenue K6
Ste B
Lancaster, CA 93535
Phone (661) 471-4810

11833 Wilmington Ave
Los Angeles, CA 90059
Phone (323) 568-8100

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1212 Pico St
San Fernando, CA 91340
Phone (818) 627-4777

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

7515 Van Nuys Blvd
Fl 5
Van Nuys, CA 91405
Phone (818) 947-4026

7515 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 627-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vishakalakshmi.subbiah.p1@direct.nevhc.nextgenshare.com

Organizations & group practices 8

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1790906568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051949",
            "telephone_number": "818-947-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051949",
            "telephone_number": "818-947-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBIAH",
        "first_name": "VISHAKALAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A97861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.