Active NPI
Kailash Dhamija Walk in Medical Care a Medical Corporation
- General Practice Physician
- Long Beach, CA
National Provider Identifier
1952583569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A42292
- Legal business name
- KAILASH DHAMIJA WALK IN MEDICAL CARE A MEDICAL CORPORATION
- Practice address
- 3760 Atlantic Ave # a
Long Beach, CA 90807-3409 - Phone
- (562) 595-7467
- Fax
- (562) 988-0276
- NPI assigned
- Dec 5, 2007
- 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. Kailash R Dhamija, MD
- Title
- Medical Director
- Phone
- (562) 595-7467
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A42292 | CA | Primary |
Addresses
Primary practice location
3760 Atlantic Ave # a
Long Beach, CA 90807-3409
Mailing address
3760 Atlantic Ave # a
Long Beach, CA 90807-3409
Phone (562) 595-7467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D1073086 | Other | CA | CLIA |
Other names 1
- WALK IN MEDICAL CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090724000624 | CA | Part B Supplier - Clinic/Group Practice | 5395756860 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Artesia, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Practice Physician
- Artesia, CA
- NPI 1437375953
O20090724000624
National Provider Directory
National Provider DirectoryLocations
3760 Atlantic Ave
#A
Long Beach, CA 90807
Phone (562) 595-7467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440720000000",
"number": "1952583569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3760 ATLANTIC AVE # A",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073409",
"telephone_number": "562-595-7467",
"fax_number": "562-988-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3760 ATLANTIC AVE # A",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073409",
"telephone_number": "562-595-7467",
"fax_number": "562-988-0276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAILASH DHAMIJA WALK IN MEDICAL CARE A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2015-08-28",
"status": "A",
"authorized_official_last_name": "DHAMIJA",
"authorized_official_first_name": "KAILASH",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "562-595-7467",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A42292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D1073086",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WALK IN MEDICAL CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.