Individual provider Active NPI

Maheshkumar Vyas, M.D.

  • Allergy & Immunology Physician
  • Anaheim, CA
National Provider Identifier
1942279633
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A39509 Issued in CA
Practice address
8245 E Monte Vista Rd Ste 200
Anaheim, CA 92808-1297
Phone
(714) 974-0100
Fax
(714) 974-0300
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A39509 CA
Allergy & Immunology Physician 207K00000X A39509 CA Primary

Addresses

Primary practice location

8245 E Monte Vista Rd Ste 200
Anaheim, CA 92808-1297

Mailing address

8245 E Monte Vista Rd
Ste 200
Anaheim, CA 92808-3748
Phone (714) 974-0100

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
I20071009000992 CA Practitioner - Allergy/ImmunologyPractitioner - Family Practice 1557454485 Practice locations: Anaheim, CA

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8245 E Monte Vista Rd
Suite 200
Anaheim, CA 92808-1297
Phone (714) 974-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39509CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Jude Hospital Inc Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
Lilli Ann C Cellona M D a Medical Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942279633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 E MONTE VISTA RD",
            "address_2": "STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928083748",
            "telephone_number": "714-974-0100",
            "fax_number": "714-974-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 E MONTE VISTA RD STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081297",
            "telephone_number": "714-974-0100",
            "fax_number": "714-974-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "MAHESHKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A39509",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A39509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.