Individual provider Active NPI

Vinod Kumar Garg, MD

  • Surgery Physician
  • Pomona, CA
National Provider Identifier
1962578120
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A49049 Issued in CA
Practice address
250 W Bonita Ave Ste 250
Pomona, CA 91767-1864
Phone
(909) 868-6800
Fax
(909) 256-2488
NPI assigned
Nov 28, 2006
Last updated
Feb 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A49049 CA Primary
Vascular Surgery Physician 2086S0129X A49049 CA

Addresses

Primary practice location

250 W Bonita Ave Ste 250
Pomona, CA 91767-1864

Mailing address

250 W Bonita Ave Ste 250
Pomona, CA 91767-1864
Phone (909) 868-6800

Other identifiers 1

IdentifierTypeStateIssuer
00A490491MedicaidCA

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
I20081124000340 CA Practitioner - General Surgery 6002976859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 W Bonita Ave
Suite 250
Pomona, CA 91767-1864
Phone (909) 868-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49049CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vinod Kumar Garg MD Inc CurrentSince Apr 29, 1996 Accepting new patients
Primecare Medical Group Past Accepting new patients

Locations

160 E Artesia St
Ste 310
Pomona, CA 91767
Phone (909) 469-9477

250 W Bonita Ave
Ste 250
Pomona, CA 91767
Phone (909) 593-2031

9481 Pittsburgh Ave
Rancho Cucamonga, CA 91730
Phone (909) 303-2260

9481 Pittsburgh Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (818) 654-4537

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1962578120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W BONITA AVE STE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671864",
            "telephone_number": "909-868-6800",
            "fax_number": "909-256-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W BONITA AVE STE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671864",
            "telephone_number": "909-868-6800",
            "fax_number": "909-256-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "VINOD",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A49049",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A49049",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A490491",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.