Active NPI
Cathedral Medical Inc.
- Specialist
- Los Angeles, CA
National Provider Identifier
1922448836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A91809
- Legal business name
- CATHEDRAL MEDICAL INC.
- Practice address
- 2226 E Cesar E Chavez Ave
Los Angeles, CA 90033-1825 - Phone
- (323) 266-4446
- Fax
- (323) 266-4447
- NPI assigned
- Jun 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vikram Kothandaraman, MD
- Title
- Medical Director
- Phone
- (323) 266-4446
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A91809 | CA | Primary |
Addresses
Primary practice location
2226 E Cesar E Chavez Ave
Los Angeles, CA 90033-1825
Mailing address
2226 E Cesar E Chavez Ave
Los Angeles, CA 90033-1825
Phone (323) 266-4446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A91809 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
National Provider Directory
National Provider DirectoryLocations
1120 W La Palma Ave
Ste 6
Anaheim, CA 92801
Phone (714) 776-6930
7024 Seville Ave
Ste A
Huntington Park, CA 90255
Phone (323) 266-4446
7220 Woodman Ave
Ste 106
Van Nuys, CA 91405
Phone (323) 266-4446
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Gynecology Physician
- Los Angeles, CA
- NPI 1972142719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372377600000",
"number": "1922448836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2226 E CESAR E CHAVEZ AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331825",
"telephone_number": "323-266-4446",
"fax_number": "323-266-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2226 E CESAR E CHAVEZ AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331825",
"telephone_number": "323-266-4446",
"fax_number": "323-266-4447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHEDRAL MEDICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-25",
"last_updated": "2013-06-28",
"status": "A",
"authorized_official_last_name": "KOTHANDARAMAN",
"authorized_official_first_name": "VIKRAM",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "323-266-4446",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A91809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CALIFORNIA",
"identifier": "A91809",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.