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GAUTAM VANGIPURAM MD INC
NPI 1699474163
Ophthalmology - Retina Specialist in Hermosa Beach, CA

Active since February 23, 2023
555 PIER AVE STE D, HERMOSA BEACH, CA 90254(815) 342-1739 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1699474163
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameGAUTAM VANGIPURAM MD INC
Location Address555 PIER AVE STE DHermosa Beach, CA 90254-3801
Mailing Address3565 Colonial AveLos Angeles, CA 90066-2708 · (815) 342-1739
Phone(815) 342-1739
Organization SubpartNo
Authorized OfficialGautam VangipuramPhysician · (815) 342-1739
Enumeration DateFebruary 23, 2023
NPPES CertifiedFebruary 23, 2023
✔ NPI 1699474163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
555 PIER AVE STE D, Hermosa Beach, CA 90254
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Other Names 1

Doing Business AsBeach Cities Retina

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

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.

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.