KULENDU G VASAVDA MD INC
NPI 1043382187
Family Medicine in Stockton, CA

Active since November 14, 2006CLIA 05D1038167 · Waiver
221 TUXEDO COURT, SUITE B, STOCKTON, CA 95204(209) 941-0149(209) 941-2550 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kulendu G Vasavda Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KULENDU G VASAVDA MD INC (NPI 1043382187) is a healthcare organization registered as a family medicine in Stockton, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists Kulendu G Vasavda, President, as its authorized official.

NPPES Registry Identity

NPI1043382187
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKULENDU G VASAVDA MD INC
Location Address221 TUXEDO COURT, SUITE BStockton, CA 95204
Mailing Address221 Tuxedo Court, Suite BStockton, CA 95204 · (209) 941-0149 · Fax (209) 941-2550
Fax(209) 941-2550
Organization SubpartNo
Authorized OfficialKulendu G VasavdaPresident · (209) 941-0149
Enumeration DateNovember 14, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1043382187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A49048
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
221 TUXEDO COURT, Stockton, CA 95204

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1038167

Kulendu G Vasavda MD Inc · Stockton, CA
Active · expires Jun 21, 2027
CLIA Number05D1038167
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorKulendu G. Vasavda MD
Laboratory Phone(209) 941-0149
Laboratory LocationKulendu G Vasavda MD Inc221 Tuxedo Ct Ste C, Stockton, CA 95204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
221 TUXEDO COURT, SUITE E
STOCKTON, CA 95204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kulendu G Vasavda MD Inc's NPI number?

The NPI number for Kulendu G Vasavda MD Inc is 1043382187. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Kulendu G Vasavda MD Inc located?

Kulendu G Vasavda MD Inc is located at 221 Tuxedo Court Suite B, Stockton, CA 95204. The listed phone number is (209) 941-0149.

What is Kulendu G Vasavda MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Kulendu G Vasavda MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1038167) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kulendu G Vasavda MD Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.