Individual provider Active NPI

Vigna Rajan, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1881759207
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
A53631 Issued in CA
Practice address
525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone
(626) 307-2036
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X A53631 CA Primary

Addresses

Primary practice location

525 N Garfield Ave
Monterey Park, CA 91754-1202

Mailing address

1581 Oakdale St
Pasadena, CA 91106-3552
Phone (626) 644-6588

Other practice location 1

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 843-5111

Other identifiers 1

IdentifierTypeStateIssuer
00A536310MedicaidCA

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
I20170822001392 CA Practitioner - Other (Physician)Practitioner - Pediatric Medicine 5991077299 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53631CAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Feb 1, 2024 Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. CurrentSince Jul 4, 2017 Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Pediatric Subspecialty Faculty, Inc. Past Accepting new patients
Pediatrix Medical Group of California, a Professional Corporation Neonatal-Perinatal Medicine Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1881759207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 OAKDALE ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063552",
            "telephone_number": "626-644-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N GARFIELD AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541202",
            "telephone_number": "626-307-2036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Buena Vista St",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054809",
            "country_code": "US",
            "telephone_number": "818-843-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJAN",
        "first_name": "VIGNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A53631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A536310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.