Individual provider Active NPI

Niveditha Vilasagar, M.D.

  • Pediatric Critical Care Medicine Physician
  • Arcadia, CA
National Provider Identifier
1831355320
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
A110069 Issued in CA
Practice address
622 W Duarte Rd Ste 302
Arcadia, CA 91007-9278
Phone
(858) 295-0501
Fax
(308) 646-6140
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X A110069 CA Primary

Addresses

Primary practice location

622 W Duarte Rd Ste 302
Arcadia, CA 91007-9278

Mailing address

244 Madison Ave Ste 141
New York, NY 10016-2817
Phone (669) 201-0667

Other names 1

  • Miss Neetha Vilasagar Other name

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
I20161221000601 CA Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 1355563883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Critical Care (Intensivists)
Education
JC Edwards School of Medicine, Marshall University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellison Medical Group Vein Treatment CenterGroup PAC ID 3274898275, 10 clinicians

Practice addresses (Care Compare)

622 W Duarte Rd
Suite 302
Arcadia, CA 91007-9278
Phone (669) 201-0667

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110069CAMDPediatric Critical Care Medicine Physician
MD042478DCMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Nov 15, 2016 Accepting new patients
Southern California Permanente Medical Group CurrentSince Nov 15, 2016 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Ellison Medical Group Vein Treatment Center Past Accepting new patients

Locations

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

4867 W Sunset Blvd
Fl 5
Los Angeles, CA 90027
Phone (323) 783-1502

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

4760 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 783-0567

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

Organizations & group practices 4

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1831355320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MADISON AVE STE 141",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162817",
            "telephone_number": "669-201-0667",
            "fax_number": "818-616-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD STE 302",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079278",
            "telephone_number": "858-295-0501",
            "fax_number": "308-646-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILASAGAR",
        "first_name": "NIVEDITHA",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "A110069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEETHA",
            "last_name": "VILASAGAR",
            "prefix": "MISS",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.