Organization Active NPI

Vaijayanti S Koldhekar

  • Health Service Clinic/Center
  • Duarte, CA
National Provider Identifier
1992249783
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
3518 Issued in CA
Legal business name
VAIJAYANTI S KOLDHEKAR
Practice address
1212 Kellwill Way
Duarte, CA 91010-3322
Phone
(626) 599-5222
Fax
(626) 599-5274
NPI assigned
Dec 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Dr. Vaijayanti Koldhekar, MD
Title
Physician
Phone
(626) 303-2541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 3518 CA Primary

Addresses

Primary practice location

1212 Kellwill Way
Duarte, CA 91010-3322

Mailing address

1212 Kellwill Way
Duarte, CA 91010-3322
Phone (626) 599-5222

National Provider Directory

National Provider Directory

Locations

1212 Kellwill Way
Duarte, CA 91010
Phone (626) 599-5222

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1992249783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 KELLWILL WAY",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910103322",
            "telephone_number": "626-599-5222",
            "fax_number": "626-599-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 KELLWILL WAY",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910103322",
            "telephone_number": "626-599-5222",
            "fax_number": "626-599-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIJAYANTI S KOLDHEKAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "KOLDHEKAR",
        "authorized_official_first_name": "VAIJAYANTI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-303-2541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "3518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.