Active NPI
Vaijayanti S Koldhekar
- Health Service Clinic/Center
- Duarte, CA
National Provider Identifier
1992249783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 3518
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.