Cathedral Medical Inc.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

CATHEDRAL MEDICAL INC.

Practice address

2226 E Cesar E Chavez Ave
Los Angeles, CA 90033-1825

Phone

(323) 266-4445

NPI assigned

Dec 26, 2019

Organization subpart

Yes

Parent organization

CATHEDRAL MEDICAL INCAs reported in NPPES

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

Authorized official

Name

Vikram S Kothandaraman, MDNPI 1720129141

Title

Medical Director

Phone

(213) 840-4757

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Her Smart Choice E LA Doing business as

Electronic endpoints 1

Part of

Cathedral Medical Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cathedral Medical Inc.

  • Specialist
  • Los Angeles, CA
  • NPI 1922448836
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vikram S Kothandaraman, M.D

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1720129141
  NPD Authorized official

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1972142719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57629",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900570629"
        },
        {
            "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": "323-266-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHEDRAL MEDICAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHEDRAL MEDICAL INC",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "KOTHANDARAMAN",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "213-840-4757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XXX1234",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ATT",
            "affiliation": "N",
            "address_1": "2226 E Cesar E Chavez Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900331825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Her Smart Choice E LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cadyn Cathers, PSYD, MA

• Gynecology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.