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DR. VIJAY M DHAWAN M.D.
NPI 1760426415
Internal Medicine - Geriatric Medicine in Montebello, CA

Active since June 15, 2006PECOS EnrolledCLIA 05D0865769 · Waiver
3420 W BEVERLY BLVD, MONTEBELLO, CA 90640(323) 721-9411(323) 887-4932 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Vijay M Dhawan M.d. NPPES

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

DR. VIJAY M DHAWAN M.D. (NPI 1760426415) is an individual geriatric medicine provider in Montebello, California, licensed in California (A32299) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through July 1, 2027.

NPPES Registry Identity

NPI1760426415
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. VIJAY M DHAWANCredential: M.D.
Location Address3420 W BEVERLY BLVDMontebello, CA 90640-1539
Mailing Address3420 W Beverly BlvdMontebello, CA 90640-1539 · (323) 721-9411 · Fax (323) 887-4932
Phone(323) 721-9411
Fax(323) 887-4932
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateNovember 18, 2011
✔ NPI 1760426415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in CA · A32299
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
3420 W BEVERLY BLVD, Montebello, CA 90640
Open in Google Maps ↗

Other Identifiers 3

Medicare PINWA32299BCA
Medicare UPINA26754CA
Medicaid00A322990CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vijay M Dhawan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Vijay Dhawan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vijay M Dhawan M.D. Inc
Same address
Adolescent Medicine
3420 W BEVERLY BLVD
Montebello, CA 90640
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Vijay M Dhawan MD Inc
  • 3 clinicians in this Medicare group
NPI 1306859046 (213) 700-0390

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D0865769

Vijay M Dhawan MD Inc · Montebello, CA
Active · expires Jul 1, 2027
CLIA Number05D0865769
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorVijay M. Dhawan
Laboratory Phone(323) 721-9411
Laboratory LocationVijay M Dhawan MD Inc3420 West Beverly Boulevard, Montebello, CA 90640
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier11 claims682 services$5.37 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers81 claims2,458 services$4.44 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers45 claims21,760 services$0.27 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
3 suppliers40 claims17,824 services$0.58 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
2 suppliers13 claims13 services$9.03 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers12 claims14 services$27.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. RAHUL DHAWAN D.O.
Internal Medicine
3420 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (213) 359-6393
VIA CARE COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
3420 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 268-9191
VIJAY M DHAWAN M.D. INC
Internal Medicine (Adolescent Medicine)
3420 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (213) 700-0390
KAMLESH TANEJA DHAWAN MD
Internal Medicine (Cardiovascular Disease)
3420 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 887-1950

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 Vijay Dhawan's NPI number?

The NPI number for Vijay Dhawan is 1760426415. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Vijay Dhawan located?

Vijay Dhawan practices at 3420 W Beverly Blvd, Montebello, CA 90640. The listed phone number is (323) 721-9411.

What is Vijay Dhawan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Vijay Dhawan enrolled in Medicare?

Yes. Vijay Dhawan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vijay Dhawan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vijay Dhawan reassigns Medicare benefits to Vijay M Dhawan M.D. Inc (Montebello, CA). The 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 Vijay Dhawan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Vijay Dhawan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0865769) is associated with this NPI, valid through July 1, 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 Vijay Dhawan was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.