Organization Active NPI

Anjana V. Kamdar, M.D., Inc.

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1871646604
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A29491 Issued in CA
Legal business name
ANJANA V. KAMDAR, M.D., INC.
Practice address
1701 E Cesar E Chavez Ave
Suite 307
Los Angeles, CA 90033-2464
Phone
(323) 264-4300
Fax
(323) 264-4664
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anjana V. Kamdar, M.D.NPI 1346348638
Title
President
Phone
(323) 264-4300

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X A29491 CA Primary

Addresses

Primary practice location

1701 E Cesar E Chavez Ave
Suite 307
Los Angeles, CA 90033-2464

Mailing address

1701 E Cesar E Chavez Ave
Suite 307
Los Angeles, CA 90033-2464
Phone (323) 264-4300

Other identifiers 1

IdentifierTypeStateIssuer
00A294910MedicaidCA

National Provider Directory

National Provider Directory

Locations

1700 E Cesar E Chavez Ave
Ste 3700
Los Angeles, CA 90033
Phone (323) 260-7252

1701 E Cesar E Chavez Ave
Ste 308
Los Angeles, CA 90033
Phone (323) 222-3625

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871646604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-264-4300",
            "fax_number": "323-264-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-264-4300",
            "fax_number": "323-264-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJANA V. KAMDAR, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMDAR",
        "authorized_official_first_name": "ANJANA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-264-4300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A29491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A294910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.