Organization Active NPI

Cathedral Medical Inc.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1922448836
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A91809 Issued in CA
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

Updated by the provider on Jun 28, 2013

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A91809OtherCAMEDICAL BOARD OF CALIFORNIA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.