Individual provider Active NPI

Kamlesh Taneja Dhawan, MD

  • Cardiovascular Disease Physician
  • Montebello, CA
National Provider Identifier
1821023540
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A38701 Issued in CA
Practice address
3420 W Beverly Blvd
Montebello, CA 90640-1539
Phone
(323) 887-1950
Fax
(323) 887-4932
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 A38701 CA Primary

Addresses

Primary practice location

3420 W Beverly Blvd
Montebello, CA 90640-1539

Mailing address

3420 W Beverly Blvd
Montebello, CA 90640-1539
Phone (323) 887-1950

Other identifiers 1

IdentifierTypeStateIssuer
00A387010OtherCAMEDICAL PPIN #

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
I20060110000848 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183517709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3420 W Beverly Blvd
Montebello, CA 90640-1539
Phone (323) 887-1950

Hospital & facility affiliations

  • Greater El Monte Community Hospital Hospital, South El Monte, CA, CCN 050738
  • Monterey Park Hospital Hospital, Monterey Park, CA, CCN 050736
  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A38701CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vijay M Dhawan M.D. Inc CurrentSince Feb 1, 1994 Accepting new patients
Universal Artificial Kidney Center LLC PastSince Apr 20, 2020 Accepting new patients

Locations

3420 W Beverly Blvd
Montebello, CA 90640
Phone (323) 721-9411

3404 W Beverly Blvd
Montebello, CA 90640
Phone (323) 721-9411

Interoperability endpoints

  • Direct secure messaging: kdhawan58796@direct.uclahealth.org

Organizations & group practices 2

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 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821023540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401539",
            "telephone_number": "323-887-1950",
            "fax_number": "323-887-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401539",
            "telephone_number": "323-887-1950",
            "fax_number": "323-887-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "KAMLESH",
        "middle_name": "TANEJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A38701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00A387010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.