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DR. KULENDU GHANSHYAM VASAVDA M.D.
NPI 1245443654
Family Medicine in Stockton, CA

Active since May 08, 2007CLIA 05D1038167 · Waiver
221 TUXEDO CT, SUITE C, STOCKTON, CA 95204(209) 941-0149(209) 941-2550 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Dr. Kulendu Ghanshyam Vasavda M.d. NPPES

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

DR. KULENDU GHANSHYAM VASAVDA M.D. (NPI 1245443654) is an individual family medicine provider in Stockton, California, licensed in California (A49048) and active in the NPI registry since May 2007. He holds a CLIA Waiver certificate valid through June 21, 2027 and is a graduate of Other (1981).

NPPES Registry Identity

NPI1245443654
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KULENDU GHANSHYAM VASAVDACredential: M.D.
Location Address221 TUXEDO CT, SUITE CStockton, CA 95204-5261
Mailing Address221 Tuxedo Ct, Suite CStockton, CA 95204-5261 · (209) 941-0149 · Fax (209) 941-2550
Phone(209) 941-0149
Fax(209) 941-2550
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateMay 8, 2007
Last NPPES UpdateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
✔ NPI 1245443654 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 CT, Stockton, CA 95204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kulendu Ghanshyam Vasavda M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779551239
PECOS Enrollment IDI20040922000519

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 Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
286 services108 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
181 services50 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
118 services35 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
71 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
13 services13 patients

Other Providers at the Same Location NPPES

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

STOCKTON PHYSICAL THERAPY AND LYMPHEDEMA CLINIC, INC
Clinic/Center (Physical Therapy)
221 TUXEDO CT, SUITE - B
STOCKTON, CA 95204
San Joaquin County (209) 464-0200

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 Vasavda's NPI number?

The NPI number for Kulendu Vasavda is 1245443654. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Kulendu Vasavda located?

Kulendu Vasavda practices at 221 Tuxedo Ct Suite C, Stockton, CA 95204. The listed phone number is (209) 941-0149.

What is Kulendu Vasavda's specialty?

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

Is Kulendu Vasavda enrolled in Medicare?

Yes. Kulendu Vasavda is registered in the Medicare PECOS enrollment system.

Does Kulendu Vasavda 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 Vasavda was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.