Look up the most recent NPI and PECOS records

Kamala Vaidya

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way # Mc5075, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Kamala Vaidya is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1083840920
Provider Type
Individual
Full Name
Vaidya, Kamala
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/5/2009
Last Updated
9/18/2013

Contact Information

Practice Location

3020 Childrens Way # Mc5075, San Diego, CA 92123-4223

(858) 576-1700

Unlisted Fax

Mailing Location

3020 Childrens Way # Mc5075, San Diego, CA 92123-4223

(858) 966-8036

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A124814 California
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License 8536A Wyoming

Kamala Vaidya

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Boies, Eyla G.

Chisholm, Sarah Elizabeth

Osteopathic Center For Children

Willies-Jacobo, Linidia J

Leek, Kimberly B

Gillis, Ryan Patrick

Katheria, Anup

Atari, Ealla

Le, Crystal Nguyen

Newton, Richard John