JAYAKUMAR RAVICHANDRAN VIDHUN (NPI# 1275685638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275685638 |
| Entity Type | Individual |
| Full Name | JAYAKUMAR RAVICHANDRAN VIDHUN |
| Other Name | N/A N/A |
| Credential | M.D. |
| Practice Address |
12462 Putnam St. Suite 506 Whittier CA 90602-1002 |
| Mailing Address |
P.o. Box 511 Whittier CA 90608-0511 |
| Practice Telephone | 5626988141 |
| Practice Fax Number | 5626989885 |
| Mailing Telephone | 5626988141 |
| Mailing Fax Number | 5626989885 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A92267 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A92267 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A922670 | 05 |
| Street Address |
12462 PUTNAM ST. SUITE 506 |
| City | WHITTIER |
| State | CA |
| Zip Code | 90602-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902811391 | Shahriare Nasser-moaddeli | Internal Medicine | 12462 Putnam St., Suite 506, Whittier, CA 90602-1002 | 2006-07-31 |
| 1891235123 | Allison Nicole Crane | Registered Nurse | 12462 Putnam St., Suite # 203, Whittier, CA 90602-1049 | 2017-03-06 |
| 1770789661 | Paul Frederick Jacobsen | Otolaryngology | 12462 Putnam St., Suite 501, Whittier, CA 60302 | 2007-06-26 |
| 1770786469 | Jennifer Maria Imparato | Internal Medicine | 12462 Putnam St., Suite 506, Whittier, CA 90602-1002 | 2007-06-08 |
| 1417074683 | Eduardo A Tovar, M.d. A Medical Corp | Surgery | 12462 Putnam St., Suite 200, Whittier, CA 90602-1002 | 2007-03-23 |
| 1659485589 | Whittier Internal Medicine and Nephrology Medical Group Inc | Internal Medicine | 12462 Putnam St., #506, Whittier, CA 90602-1002 | 2006-08-18 |
| 1366459208 | Riad Y. Darwish | Internal Medicine | 12462 Putnam St., Suite 506, Whittier, CA 90602-1002 | 2006-08-02 |
| 1275540114 | Kevin T. Huang | Internal Medicine | 12462 Putnam St., Suite 506, Whittier, CA 90602-1002 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346896412 | Alexis Pettway | Specialist/Technologist | 13847 Earlham Drive, Whittier, CA 90602 | 2019-08-14 |
| 1053898486 | Bridget Joanne Islas | Case Manager/Care Coordinator | 8219 Milton Ave., Apt. D, Whittier, CA 90602 | 2018-07-27 |
| 1184175606 | Metzie America Moran | Specialist | 8135 Painter Ave Suite 201, Whittier, CA 90602 | 2016-10-19 |
| 1811348360 | Jasmine Renee Simmons | Speech-Language Pathologist | 8135 Painter Avenue, Suite #200, Whittier, CA 90602 | 2016-06-27 |
| 1194108084 | Aaronshawn Poolsaad | Optometrist | 8135 Painter Ave Ste 100, Whittier, CA 90602 | 2015-07-09 |
| 1124409677 | Alliance Orthotics & Prosthetics Inc. | Clinic/Center | 12458 East Washington Blvd, Whittier, CA 90602 | 2015-06-10 |
| 1205223567 | Maria Ursula Jarrin Lopez | Speech-Language Pathologist | 8135 Painter Avenue, Suite 201, Whittier, CA 90602 | 2015-04-23 |
| 1932595055 | Sotto Lin Weng | Acupuncturist | 7754 Painter Avenue, Whittier, CA 90602 | 2015-04-15 |
| 1770978660 | Carolyn Rumpeltes | Physician Assistant | 12462 Putnam St Ste 203, Whittier, CA 90602 | 2015-03-30 |
| 1609273671 | Anthony Razon | Specialist/Technologist | 8132 Painter Ave Ste 201, Whittier, CA 90602 | 2014-11-19 |
| Find all providers in zip 90602 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245474378 | Laleh Boroujerdi-rad | Internal Medicine | 14350 Whittier Blvd Ste 101, Whittier, CA 90605-2164 | 2009-04-20 |
| 1669436648 | Davita Nephrology Medical Associates of Californa Inc | Internal Medicine | 15141 E Whittier Blvd, Ste 225, Whittier, CA 90603 | 2006-04-14 |
| 1205814837 | Hassan Boroujerdi-rad | Internal Medicine | 14350 East Whittier Blvd, 101, Whittier, CA 90605-2138 | 2006-01-04 |
| 1093132649 | Willy Singh Do Inc | Internal Medicine | 11147 Washington Blvd, Whittier, CA 90606-3007 | 2014-03-20 |
| 1528374170 | Dorsa Nasseri Maryska M.d., Inc. | Internal Medicine | 11147 Washington Blvd., Whittier, CA 90606-3007 | 2010-08-20 |
| 1265587075 | Willy Singh | Internal Medicine | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2007-01-24 |
| 1659485589 | Whittier Internal Medicine and Nephrology Medical Group Inc | Internal Medicine | 12462 Putnam St., #506, Whittier, CA 90602-1002 | 2006-08-18 |
| 1053326587 | Hassan Boroujerdi Md Inc | Internal Medicine | 14350 Whittier Blvd, 101, Whittier, CA 90605-2138 | 2006-07-31 |
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| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
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| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
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| Find all providers with the same taxonomy | ||||
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| 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.