Individual provider Active NPI

Kaushal R Tamboli, M.D.

  • Cardiovascular Disease Physician
  • Downey, CA
National Provider Identifier
1871655480
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A38408 Issued in CA
Practice address
8317 Davis St
Suite a
Downey, CA 90241-4918
Phone
(562) 869-1511
Fax
(562) 869-0771
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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 A38408 CA Primary

Addresses

Primary practice location

8317 Davis St
Suite a
Downey, CA 90241-4918

Mailing address

8317 Davis St
Suite a
Downey, CA 90241-4918
Phone (562) 869-1511

Other identifiers 2

IdentifierTypeStateIssuer
060068098OtherCAMEDICARE RAILROAD
00A384080MedicaidCA

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
I20100824000517 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2264463199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kaushal R Tamboli MD IncGroup PAC ID 2365473295, 4 clinicians

Practice addresses (Care Compare)

8317 Davis St
Suite a
Downey, CA 90241-4918
Phone (562) 869-1511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.59 of 100Reported as group
Quality
75.18
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A38408CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaushal R Tamboli MD Inc Cardiovascular Disease CurrentSince Apr 1, 2001 Accepting new patients
University of California Irvine Past Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients

Locations

11411 Brookshire Ave
Ste 403
Downey, CA 90241
Phone (562) 869-1511

8317 Davis St
Apt A
Downey, CA 90241
Phone (562) 869-1511

3628 E Imperial Hwy
Ste 201
Lynwood, CA 90262
Phone (310) 406-3900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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 2

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1871655480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 DAVIS ST",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414918",
            "telephone_number": "562-869-1511",
            "fax_number": "562-869-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8317 DAVIS ST",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414918",
            "telephone_number": "562-869-1511",
            "fax_number": "562-869-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBOLI",
        "first_name": "KAUSHAL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A38408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "060068098",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A384080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.