Individual provider Active NPI

Nitanth Reddy Vangala, M.D.

  • Interventional Cardiology Physician
  • Pomona, CA
National Provider Identifier
1861690141
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A97827 Issued in CA
Practice address
1866 N Orange Grove Ave
Suite # 202
Pomona, CA 91767-3031
Phone
(909) 623-8796
Fax
(909) 623-3076
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A97827 CA
Interventional Cardiology Physician 207RI0011X A97827 CA Primary

Addresses

Primary practice location

1866 N Orange Grove Ave
Suite # 202
Pomona, CA 91767-3031

Mailing address

840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550

Other practice location 1

5385 Walnut Ave Ste 3
Chino, CA 91710-2605
Phone (909) 465-0292

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
I20081027000684 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0547328056 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Wayne State University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians

Practice addresses (Care Compare)

1866 N Orange Grove Ave
Pomona, CA 91767-3042

1866 N Orange Grove Ave
Suite 102
Pomona, CA 91767-3031
Phone (909) 629-3062

520 E Foothill Blvd
Pomona, CA 91767-1200
Phone (909) 622-3065

9190 Haven Ave
Rancho Cucamonga, CA 91730-5431
Phone (909) 581-6732

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group Inc. CurrentSince Sep 1, 2014 Accepting new patients
UC Regents CurrentSince Nov 3, 2009 Accepting new patients
Chaparral Medical Group Inc Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Chaparral Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
The Regents of the University of California-Irvine CurrentSince Jun 15, 2008 Accepting new patients
CMG Clinical Laboratory and Ancillary Services, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Chaparral Medical Group, Inc. Internal Medicine Current Accepting new patients
UC Regents Current Accepting new patients
Chino Medical Group, Inc Internal Medicine Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Chaparral Medical Group Inc Internal Medicine Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

5385 Walnut Ave
Ste 3
Chino, CA 91710
Phone (909) 465-0292

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1801 W Olympic Blvd
Pasadena, CA 91199

1866 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 630-7711

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

840 Towne Center Dr
Pomona, CA 91767

8330 Red Oak St
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 987-4922

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1861690141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 N ORANGE GROVE AVE",
            "address_2": "SUITE # 202",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673031",
            "telephone_number": "909-623-8796",
            "fax_number": "909-623-3076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5385 Walnut Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102605",
            "country_code": "US",
            "telephone_number": "909-465-0292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANGALA",
        "first_name": "NITANTH",
        "middle_name": "REDDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A97827",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A97827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.