Vipin M. Tandon M.D., Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A26262 Issued in CA

Legal business name

VIPIN M. TANDON M.D., INC

Practice address

1687 Erringer Rd
Suite 103
Simi Valley, CA 93065-6508

Phone

(805) 522-3195

NPI assigned

May 1, 2007

Last updated

Oct 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christy Leah Lackie

Title

Office Manager

Phone

(805) 522-3195

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1871714279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD",
            "address_2": "SUITE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD",
            "address_2": "SUITE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656508",
            "telephone_number": "805-522-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIPIN M. TANDON M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "LACKIE",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-522-3195"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A26262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A262620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.