Individual provider Active NPI

Vimal I Nanavati, M.D.

  • Interventional Cardiology Physician
  • Bonita, CA
National Provider Identifier
1851408082
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G83522 Issued in CA
Practice address
180 Otay Lakes Rd Ste 110
Bonita, CA 91902-2444
Phone
(619) 585-0476
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X G83522 CA Primary

Addresses

Primary practice location

180 Otay Lakes Rd Ste 110
Bonita, CA 91902-2444

Mailing address

PO Box 1734
Poway, CA 92074-1734
Phone (619) 585-0476

Other practice location 1

2510 Airpark Dr Ste 205
Redding, CA 96001-2461
Phone (530) 433-5427

Other identifiers 2

IdentifierTypeStateIssuer
00G835220MedicaidCA
W18989OtherCAMEDICARE

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
I20050330000508 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 8325094535 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Loyola University of Chicago, Stritch School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

180 Otay Lakes Rd
Suite 203
Bonita, CA 91902-2444
Phone (951) 818-9969

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83522CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter Medical Center CurrentSince Jan 21, 2025 Accepting new patients
Scripps Health Current Accepting new patients
Advanced Heart Care, Inc Interventional Cardiology CurrentSince Dec 1, 2004 Accepting new patients
Scripps Mercy Physicians Cardiology Medical Corporation CurrentSince Mar 1, 2007 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Nov 15, 2010 Accepting new patients
Scripps Health Current Accepting new patients
Dignity Health Past Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

180 Otay Lakes Rd
Ste 110
Bonita, CA 91902
Phone (619) 585-0476

180 Otay Lakes Rd
Ste 203
Bonita, CA 91902
Phone (858) 255-7976

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

2345 E 8th St
Ste 111
National City, CA 91950
Phone (619) 267-9257

2510 Airpark Dr
Ste 205
Redding, CA 96001
Phone (530) 244-0243

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1851408082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1734",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920741734",
            "telephone_number": "619-585-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 OTAY LAKES RD STE 110",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919022444",
            "telephone_number": "619-585-0476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Airpark Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012461",
            "country_code": "US",
            "telephone_number": "530-433-5427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANAVATI",
        "first_name": "VIMAL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G83522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G835220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W18989",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita, CA

Sources for this page

Verify at the official NPI Registry.