GAUTAM VANGIPURAM MD INC
NPI 1699474163
Ophthalmology - Retina Specialist in Hermosa Beach, CA
About Gautam Vangipuram Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAUTAM VANGIPURAM MD INC (NPI 1699474163), doing business as Beach Cities Retina, is a healthcare organization registered as a retina specialist in Hermosa Beach, California and active in the NPI registry since February 2023. The organization lists Gautam Vangipuram, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gautam Vangipuram Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gautam Vangipuram MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gautam Vangipuram MD Inc's NPI number?
The NPI number for Gautam Vangipuram MD Inc is 1699474163. It was assigned to this organization in the NPPES registry on February 23, 2023. The provider is doing business as Beach Cities Retina.
Where is Gautam Vangipuram MD Inc located?
Gautam Vangipuram MD Inc is located at 555 Pier Ave Ste D, Hermosa Beach, CA 90254. The listed phone number is (815) 342-1739.
What is Gautam Vangipuram MD Inc's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Gautam Vangipuram MD Inc enrolled in Medicare?
Yes. Gautam Vangipuram MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gautam Vangipuram MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Gautam Vangipuram MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gautam Vangipuram MD Inc was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Gautam Vangipuram Md Inc · NPI 1699474163
Retina Specialist organization in Hermosa Beach, California. Organization record, active in the CMS NPPES registry since February 23, 2023.
## Identity
- **NPI:** 1699474163 (Entity type: Organization)
- **Enumerated:** February 23, 2023
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Also known as:** Beach Cities Retina (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Gautam Vangipuram, PHYSICIAN
## Practice location
- **Address:** 555 PIER AVE STE D, Hermosa Beach, CA 90254-3801
- **Phone:** (815) 342-1739
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1699474163) · Data from the CMS NPPES public registry.