VIJENDRA RAO


Address: 1516 Cotner Ave, Los Angeles, CA 90025-3303
Phone: 3104452951

VIJENDRA RAO (NPI# 1699799833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699799833
Entity Type Individual
Full Name VIJENDRA RAO
Credential MD
Practice Address 1516 Cotner Ave
Los Angeles
CA 90025-3303
Practice Telephone 3104452951
Practice Fax Number 3104791459
Mailing Telephone 3104452951
Mailing Fax Number 3104791459
Enumeration Date 2006-07-27
Last Update Date 2015-02-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
A91225 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0025330 05
CA 00A912250 05
CA GR010603D 05
CA GR0106035 05
CA GR0106039 05

Office Location

Street Address 1516 COTNER AVE
City LOS ANGELES
State CA
Zip Code 90025-3303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255333480 John Vernon Crues Radiology 1516 Cotner Ave, Los Angeles, CA 90025-3303 2005-06-01
1528279783 Robert Martin Reuter Radiology 1516 Cotner Ave, Los Angeles, CA 90025-3303 2007-05-26
1649310780 Allie Kieran Blackburn Radiology 1516 Cotner Ave, Los Angeles, CA 90025-3303 2007-02-07
1225102650 Clifton Lee Choo Radiology 1516 Cotner Ave, Los Angeles, CA 90025-3303 2006-11-18
1235249871 Ana Shah Radiology 1516 Cotner Ave, Los Angeles, CA 90025-3303 2006-08-30
1558479444 Michael Rappaport Radiology 1516 Cotner Ave, Los Angeles, CA 90025-3303 2006-08-29
1447367636 Douglas B. Tait Radiology 1516 Cotner Ave, Los Angeles, CA 90025-3303 2006-08-24
1194832394 Yvette R. Price Radiology 1516 Cotner Ave, Los Angeles, CA 90025-3303 2006-08-24
1871502435 Robert Shane Loeb Radiology 1516 Cotner Ave, Los Angeles, CA 90025-3303 2006-08-05
1669480927 Ira R. Mintz Radiology 1516 Cotner Ave, Los Angeles, CA 90025-3303 2006-08-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962324 Marjan-marcia Khalitchi-alavi Psychologist 12400 Wilshire Blvd #230, Los Angeles, CA 90025 2020-11-06
1245852599 Maureen Bridget Mcglynn Marriage & Family Therapist 1531 Purdue Avenue, Los Angeles, CA 90025 2020-05-09
1578118857 Gregory J Bogie Physical Therapist 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 2019-08-05
1518527712 David Allen Goldstein Marriage & Family Therapist 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 2019-06-19
1386104875 Kevin Meir Youssefzadeh Student in an Organized Health Care Education/Training Program 304 Dowlen Dr, Los Angeles, CA 90025 2019-03-21
1336609189 Psychotherapy Center for Healing and Personal Growth Psychologist 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 2019-03-20
1477028819 Flora Ma Nurse Practitioner 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 2018-10-12
1457834285 Yeesul Yoo Chiropractor 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 2018-09-07
1902387160 Angelica Carmen Regalado Behavior Technician 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 2018-08-26
1033603378 Craig Allen Gillett Marriage & Family Therapist 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 2018-06-20
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487134623 Hy Diagnostic Inc Radiology 4201 Wilshire Blvd Ste 334a, Los Angeles, CA 90010-3601 2018-08-17
1376022012 Payersdirect, Inc. Radiology 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 2018-08-13
1437641727 Medical Imaging Center of Southern California-beverly Hills, Inc Radiology 8727 Beverly Blvd, Los Angeles, CA 90048 2018-06-01
1043726367 Perch Yetenikyan, Inc. Radiology 5465 Santa Monica Blvd Ste 101, Los Angeles, CA 90029-2339 2017-12-22
1306351895 Payam Ebizadeh Radiology 1233 S Westgate Ave Apt 307, Los Angeles, CA 90025-6792 2017-12-06
1841720059 Beverly Radiology Medical Group Radiology 8540 S Sepulveda Blvd Ste 111, Los Angeles, CA 90045-3810 2017-06-20
1164895520 Elliot Kolin Radiology 10842 Portofino Pl, Los Angeles, CA 90077-2301 2015-11-07
1396123014 Brian Weston Radiology 757 Westwood Plz Dept Of, Los Angeles, CA 90095-8358 2015-05-14
1629497581 John P. Anderson Md, Russell M. Perry Md, and Mark A. Sharzer, Amc Radiology 931 S Cochran Ave, Los Angeles, CA 90036-4738 2014-04-08
1871930131 Theodore Q Miller Radiology 6412 S Holt Ave, Los Angeles, CA 90056-2208 2013-05-28
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Competitor

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City LOS ANGELES
Zip Code 90025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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