Organization Active NPI

K Kay Durairaj MD a Medical Corporation

  • Health Service Clinic/Center
  • Pasadena, CA
National Provider Identifier
1881914646
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
A56015 Issued in CA
Legal business name
K KAY DURAIRAJ MD A MEDICAL CORPORATION
Practice address
800 S. Fairmount Ave
Pasadena, CA 91105-3152
Phone
(626) 316-7033
Fax
(626) 539-2529
NPI assigned
Jun 3, 2010
Last updated
Oct 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Dr. Kay Durairaj, MD
Title
Physician
Phone
62633167033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X A56015 CA Primary

Addresses

Primary practice location

800 S. Fairmount Ave
Pasadena, CA 91105-3152

Mailing address

800 S. Fairmount Ave
Suite 210
Pasadena, CA 91105-3152
Phone (626) 316-7033

Other identifiers 1

IdentifierTypeStateIssuer
00A560150MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101022000956 CA Part B Supplier - Clinic/Group Practice 2860685781 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

39 Congress St
Ste 201C
Pasadena, CA 91105
Phone (626) 316-7033

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1881914646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S. FAIRMOUNT AVE",
            "address_2": "SUITE 210",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053152",
            "telephone_number": "626-316-7033",
            "fax_number": "626-539-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S. FAIRMOUNT AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053152",
            "telephone_number": "626-316-7033",
            "fax_number": "626-539-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K KAY DURAIRAJ MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "DURAIRAJ",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "62633167033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A56015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A560150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.