Individual provider Active NPI

Vishal Verma, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1881613586
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A81760 Issued in CA
Practice address
13280 Evening Creek Dr S
Suite 110
San Diego, CA 92128-4101
Phone
(858) 752-9735
Fax
(888) 630-5711
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L9533 TX
General Practice Physician 208D00000X 0101252002 VA
Diagnostic Radiology Physician 2085R0202X A81760 CA Primary

Addresses

Primary practice location

13280 Evening Creek Dr S
Suite 110
San Diego, CA 92128-4101

Mailing address

13280 Evening Creek Dr S Ste 225
San Diego, CA 92128-4664
Phone (888) 910-0623

Other practice location 1

3545 Chain Bridge Rd Ste 102
Fairfax, VA 22030-2708
Phone (833) 550-5695

Other practice location 2

9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (480) 405-5816

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
I20040617001528 CA Practitioner - Diagnostic Radiology 2264416999 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81760CAMDPharmacist
A81760CAMDDiagnostic Radiology Physician
L9533TXMDDiagnostic Radiology Physician
0101252002VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Mar 31, 2015 Accepting new patients
Salinas Valley Radiologists, Inc. Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
St. Jude Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince May 22, 2018 Accepting new patients
Mdwatch Ca, PC General Practice CurrentSince Jul 2, 2004 Accepting new patients
Radiology Consultants, LTD. Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Salinas Valley Radiologists, Inc. Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Butler Imaging and Interventional Associates LLC Diagnostic Radiology CurrentSince Aug 11, 2014 Accepting new patients
Mdwatch Medical Corp. General Practice CurrentSince Apr 20, 2021 Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince May 22, 2018 Accepting new patients
County of Los Angeles CurrentSince Mar 31, 2015 Accepting new patients
Stat Radiology Medical Corporation Diagnostic Radiology Past Accepting new patients
Silicon Valley Medical Imaging Inc a Medical Corporation PastSince Jun 8, 2009 Accepting new patients
Team Physicians, PC Diagnostic Radiology Past Accepting new patients
Midcoast Imaging Medical Group Diagnostic Radiology PastSince Feb 16, 2020 Accepting new patients
Team Radiology Physicians, PA Diagnostic Radiology Past Accepting new patients
Pacific Imaging Consultants, a Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Kennewick Radiology Group, PC Diagnostic Radiology PastSince Aug 1, 2021 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

626 Brunken Ave
Salinas, CA 93901
Phone (831) 755-0600

13280 Evening Creek Dr S
Ste 225
San Diego, CA 92128
Phone (858) 752-9735

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

9360 River Rd
Marcy, NY 13403

7 Acee Dr
Natrona Hts, PA 15065

Interoperability endpoints

  • Direct secure messaging: vishal.verma.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1881613586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR S STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284664",
            "telephone_number": "888-910-0623",
            "fax_number": "888-630-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR S",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284101",
            "telephone_number": "858-752-9735",
            "fax_number": "888-630-5711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3545 Chain Bridge Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220302708",
            "country_code": "US",
            "telephone_number": "833-550-5695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9700 N 91st St Ste A115",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585036",
            "country_code": "US",
            "telephone_number": "480-405-5816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMA",
        "first_name": "VISHAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L9533",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101252002",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A81760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.