Organization Active NPI

Rishi Jindal MD Inc

  • Plastic Surgery Physician
  • San Diego, CA
National Provider Identifier
1891213245
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A149221 Issued in CA
Legal business name
RISHI JINDAL MD INC
Practice address
6386 Alvarado CT Ste 330
San Diego, CA 92120-4908
Phone
(619) 286-6446
Fax
(619) 286-1618
NPI assigned
Sep 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Dr. Rishi Jindal, MDNPI 1619293909
Title
Owner
Phone
(909) 374-0231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A149221 CA Primary

Addresses

Primary practice location

6386 Alvarado CT Ste 330
San Diego, CA 92120-4908

Mailing address

6386 Alvarado CT Ste 330
San Diego, CA 92120-4908
Phone (619) 286-6446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171110001489 CA Part B Supplier - Clinic/Group Practice 7113283904 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

3075 Health Center Dr
San Diego, CA 92123
Phone (858) 637-7888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1891213245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204908",
            "telephone_number": "619-286-6446",
            "fax_number": "619-286-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204908",
            "telephone_number": "619-286-6446",
            "fax_number": "619-286-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISHI JINDAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "JINDAL",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-374-0231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A149221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.