Active NPI
Vijay Kumar M D a Medical Corporation
- Pulmonary Disease Physician
- Simi Valley, CA
National Provider Identifier
1811024805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A46673
- Legal business name
- VIJAY KUMAR M D A MEDICAL CORPORATION
- Doing business as
- Vijay Kumar M D A Medical Corporation
- Practice address
- 1174 Amazon Way
Simi Valley, CA 93065-3156 - Phone
- (805) 527-5878
- Fax
- (805) 527-0114
- NPI assigned
- Feb 27, 2007
- Last updated
- Sep 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vijay Kumar
- Title
- Owner
- Phone
- (805) 527-5878
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A46673 | CA | Primary |
Addresses
Primary practice location
1174 Amazon Way
Simi Valley, CA 93065-3156
Mailing address
1174 Amazon Way
Simi Valley, CA 93065-3156
Phone (805) 527-5878
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A466730 | Other | CA | BLUE SHIELD |
| GF413Z | Other | CA | MEDICARE TYPE 1 PTAN EFFECT 6/27/2012 |
| 00A466730 | Medicaid | CA | |
| A46673 | Other | CA | LICENSE |
| 1811024805 | Other | CA | NPI - CORPORATION TYPE 2 |
| 1689638587 | Other | CA | NPI - INDIVIDUAL PROFESSIONAL TYPE 1 |
| 1689638587 | Other | CA | NPI INDIVIDUAL NUMBER |
| GE519A | Other | CA | MEDICARE TYPE 2 PTAN EFFECT 6/27/2012 |
| W15531 | Other | CA | MEDICARE PTAN DEACTIVATED 6/26/2012 |
| CMCSUBK0S | Other | CA | MEDICAID SUBMITTER NUMBER |
| W15531 | Other | CA | MEDICARE (PTAN) PROVIDER NUMBER |
Other names 2
- Vijay Kumar M D A Medical Corporation
- Vijay Kumar Kundal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1174 Amazon Way
Simi Valley, CA 93065
Phone (805) 527-5878
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Specialist
- Simi Valley, CA
- NPI 1689638587
-
- Family Nurse Practitioner
- Sherman Oaks, CA
- NPI 1760620231
-
- Family Medicine Physician
- Simi Valley, CA
- NPI 1831274497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1811024805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 AMAZON WAY",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930653156",
"telephone_number": "805-527-5878",
"fax_number": "805-527-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1174 AMAZON WAY",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930653156",
"telephone_number": "805-527-5878",
"fax_number": "805-527-0114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIJAY KUMAR M D A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "KUMAR",
"authorized_official_first_name": "VIJAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-527-5878"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A46673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A466730",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TYPE 1 PTAN EFFECT 6/27/2012",
"identifier": "GF413Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A466730",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A46673",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI - CORPORATION TYPE 2",
"identifier": "1811024805",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI - INDIVIDUAL PROFESSIONAL TYPE 1",
"identifier": "1689638587",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL NUMBER",
"identifier": "1689638587",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TYPE 2 PTAN EFFECT 6/27/2012",
"identifier": "GE519A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN DEACTIVATED 6/26/2012",
"identifier": "W15531",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID SUBMITTER NUMBER",
"identifier": "CMCSUBK0S",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE (PTAN) PROVIDER NUMBER",
"identifier": "W15531",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vijay Kumar M D A Medical Corporation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vijay Kumar Kundal",
"code": "5",
"type": "Other Name"
}
]
}
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 Sep 21, 2026; 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.