Active NPI 1689638587 Individual Practitioner Male Practitioner

Dr. Vijay Kumar , MD, FCCP

Specialist • Simi Valley, CA

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Vijay Kumar, MD, FCCP is a certified Specialist practicing in Simi Valley, CA. With approximately 46 years of clinical experience since completing medical education in 1980, Dr. Kumar delivers high-quality medical care to the local community at 1174 AMAZON WAY.

Dr. Kumar does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1174 Amazon Way

Simi Valley, CA 930653156

Telephone 8055275878

Fax 8055270114

Associated Practice Facility / Clinic

🏢 Vijay Kumar Md Medical Corporation Facility NPI 1811024805

Medicare Profile & Education

Medical School

Other

Graduation Year

1980

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Simi Valley, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +2.7 yrs vs City Avg

City Avg: 43.3 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

13 Specialists

Practicing in Simi Valley, CA (6446 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

43.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (46 Years) 46 Yrs

Simi Valley Specialty Average (43.3 Years) 43.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	2,715	461	$179.45	$128.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	981	336	$179.97	$138.79
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	877	170	$124.74	$119.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	815	204	$124.95	$85.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	556	382	$389.86	$187.70
99213 Established patient office or other outpatient visit, typically 15 minutes	487	228	$110.00	$103.16
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	270	14	$165.00	$171.35
99291 Critical care, first 30-74 minutes	247	118	$438.42	$213.74
99306 Initial nursing facility visit, typically 45 minutes per day	174	133	$215.00	$199.84
90658 Influenza vaccine, trivalent, 0.5 ml dosage	60	60	$30.83	$21.42
G0008 Administration of influenza virus vaccine	59	59	$45.00	$34.54
99496 Transitional care management services for problem of high complexity	40	36	$352.38	$311.55
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	37	15	$125.00	$117.86
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	33	30	$1100.00	$142.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$375.00	$246.86
99495 Transitional care management services for problem of at least moderate complexity	18	18	$252.78	$233.05
94060 Test to measure expiratory airflow and volume changes before and after medication administration	15	15	$40.00	$10.99
G0180 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	13	12	$200.00	$61.81
94664 Evaluation of use of breathing device	11	11	$40.00	$21.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	2,686	513	$158.00	$125.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	981	349	$180.00	$132.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	977	265	$124.90	$83.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	825	183	$124.76	$114.64
99213 Established patient office or other outpatient visit, typically 15 minutes	665	286	$110.00	$99.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	609	462	$389.66	$183.13
99291 Critical care, first 30-74 minutes	265	100	$436.42	$219.06
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	252	18	$165.00	$165.09
99306 Initial nursing facility visit, typically 45 minutes per day	220	179	$215.00	$193.91
G0008 Administration of influenza virus vaccine	89	88	$37.42	$31.93
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	88	87	$75.00	$21.90
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	43	39	$1100.00	$138.79
99496 Transitional care management services for problem of high complexity	37	36	$350.68	$296.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$375.00	$238.00
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	31	21	$125.00	$112.63
99495 Transitional care management services for problem of at least moderate complexity	14	14	$255.36	$214.49
G0180 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	14	14	$200.00	$58.00
94060 Test to measure expiratory airflow and volume changes before and after medication administration	13	13	$40.00	$10.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	2,971	516	$150.35	$108.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,018	218	$124.88	$75.58
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	944	238	$124.84	$97.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	922	346	$180.00	$140.84
99213 Established patient office or other outpatient visit, typically 15 minutes	727	301	$110.00	$100.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	639	474	$389.47	$209.88
99306 Initial nursing facility visit, typically 45 minutes per day	301	237	$215.00	$175.68
99291 Critical care, first 30-74 minutes	280	109	$421.71	$226.31
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	163	12	$165.00	$144.18
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	133	48	$125.00	$114.88
99446 Telephone or internet assessment and management service provided by consultative physician with verbal and written report, 5-10 minutes of medical consultative discussion and review	133	58	$125.00	$19.61
G0008 Administration of influenza virus vaccine	60	60	$30.00	$29.95
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	60	60	$35.00	$20.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$375.00	$242.15
G0444 Annual depression screening, 5 to 15 minutes	43	43	$35.00	$21.19
99495 Transitional care management services for problem of at least moderate complexity	37	34	$254.73	$217.68
G0180 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	33	31	$200.00	$59.35
99496 Transitional care management services for problem of high complexity	32	29	$350.78	$300.02
G0179 Physician re-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 to affirm the initial imp	32	19	$125.00	$46.43
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	28	24	$1100.00	$142.52
94060 Test to measure expiratory airflow and volume changes before and after medication administration	24	24	$120.00	$45.95
94060 Test to measure expiratory airflow and volume changes before and after medication administration	13	13	$54.23	$10.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	3,060	514	$153.57	$109.65
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,601	228	$124.97	$98.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,037	354	$180.00	$136.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	949	230	$124.98	$76.31
99213 Established patient office or other outpatient visit, typically 15 minutes	657	274	$110.00	$101.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	590	436	$384.68	$212.61
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	352	21	$165.00	$145.74
99306 Initial nursing facility visit, typically 45 minutes per day	243	192	$215.00	$178.15
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	235	53	$125.00	$115.34
99446 Telephone or internet assessment and management service provided by consultative physician with verbal and written report, 5-10 minutes of medical consultative discussion and review	77	54	$125.00	$19.87
99496 Transitional care management services for problem of high complexity	76	68	$352.30	$301.12
G0444 Annual depression screening, 5 to 15 minutes	74	74	$35.00	$21.28
G0179 Physician re-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 to affirm the initial imp	73	28	$125.00	$46.26
99291 Critical care, first 30-74 minutes	60	24	$381.67	$231.19
90653 Vaccine for influenza for injection into muscle	42	42	$85.00	$59.53
G0008 Administration of influenza virus vaccine	42	42	$30.00	$19.26
G0180 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	37	36	$200.00	$59.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$375.00	$242.62
31625 Biopsy of lung airway using an endoscope	22	21	$1057.95	$167.31
99495 Transitional care management services for problem of at least moderate complexity	14	14	$251.79	$224.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	2,968	480	$152.91	$112.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,276	393	$180.00	$116.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,165	132	$124.87	$100.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	783	222	$125.00	$77.97
99213 Established patient office or other outpatient visit, typically 15 minutes	772	304	$110.00	$83.62
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	695	25	$165.00	$147.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	599	425	$383.62	$217.62
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	213	57	$125.00	$117.77
99306 Initial nursing facility visit, typically 45 minutes per day	152	118	$215.00	$181.74
99291 Critical care, first 30-74 minutes	143	38	$376.71	$236.04
90653 Vaccine for influenza for injection into muscle	93	93	$85.00	$59.53
G0008 Administration of influenza virus vaccine	92	92	$30.00	$18.81
G0179 Physician re-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 to affirm the initial imp	69	29	$125.00	$46.21
G0444 Annual depression screening, 5 to 15 minutes	53	53	$35.00	$20.45
94060 Test to measure expiratory airflow and volume changes before and after medication administration	47	46	$120.00	$69.06
G0180 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	41	37	$200.00	$59.78
99496 Transitional care management services for problem of high complexity	39	36	$349.36	$261.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$375.00	$227.71
31625 Biopsy of lung airway using an endoscope	25	23	$1100.00	$170.83
99495 Transitional care management services for problem of at least moderate complexity	24	24	$252.08	$207.47
99356 Prolonged inpatient or observation hospital service, first hour	23	11	$150.00	$98.09
94060 Test to measure expiratory airflow and volume changes before and after medication administration	12	12	$40.00	$14.24
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	11	11	$247.73	$152.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	2,047	414	$152.69	$109.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,225	405	$180.00	$117.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,128	247	$125.00	$76.34
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	1,005	27	$165.00	$144.34
99213 Established patient office or other outpatient visit, typically 15 minutes	962	366	$110.00	$80.85
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	924	155	$123.28	$97.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	531	396	$383.84	$210.91
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	187	61	$125.00	$115.53
99306 Initial nursing facility visit, typically 45 minutes per day	181	138	$215.00	$175.91
99291 Critical care, first 30-74 minutes	168	19	$353.45	$231.03
94060 Test to measure expiratory airflow and volume changes before and after medication administration	155	138	$120.00	$68.38
G0444 Annual depression screening, 5 to 15 minutes	100	100	$35.00	$20.08
G0008 Administration of influenza virus vaccine	87	86	$30.00	$18.43
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	87	86	$35.00	$17.88
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	73	14	$20.00	$1.79
99496 Transitional care management services for problem of high complexity	59	54	$343.22	$252.29
99356 Prolonged inpatient or observation hospital service, first hour	54	27	$150.00	$97.25
99495 Transitional care management services for problem of at least moderate complexity	52	47	$256.73	$179.30
99357 Extended inpatient or observation hospital service, each additional 30 minutes	51	26	$150.00	$97.67
G0179 Physician re-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 to affirm the initial imp	48	25	$125.00	$45.48
G0180 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	42	42	$200.00	$58.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$375.00	$221.21
31625 Biopsy of lung airway using an endoscope	31	28	$1100.00	$165.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	22	$220.00	$143.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$181.67	$157.29
94060 Test to measure expiratory airflow and volume changes before and after medication administration	12	12	$40.00	$13.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,912	406	$136.35	$106.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,265	270	$111.99	$74.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,167	391	$164.22	$113.28
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,151	143	$110.00	$94.89
99213 Established patient office or other outpatient visit, typically 15 minutes	1,021	354	$98.93	$77.01
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	991	22	$165.00	$140.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	507	389	$385.36	$204.95
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	250	54	$125.00	$112.59
99306 Initial nursing facility visit, typically 45 minutes per day	175	133	$215.00	$171.73
94060 Test to measure expiratory airflow and volume changes before and after medication administration	127	111	$120.00	$67.76
99291 Critical care, first 30-74 minutes	115	15	$351.22	$224.50
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	106	106	$35.00	$17.88
G0008 Administration of influenza virus vaccine	102	102	$30.00	$22.97
G0179 Physician re-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 to affirm the initial imp	79	33	$125.00	$44.81
99496 Transitional care management services for problem of high complexity	71	63	$344.37	$243.65
G0444 Annual depression screening, 5 to 15 minutes	64	64	$35.00	$19.42
31625 Biopsy of lung airway using an endoscope	48	45	$1100.00	$161.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$375.00	$214.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	38	$220.00	$139.12
G0180 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	39	37	$200.00	$57.06
99495 Transitional care management services for problem of at least moderate complexity	37	37	$255.41	$174.31
94664 Evaluation of use of breathing device	26	25	$40.00	$19.63
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$150.00	$105.59
G0009 Administration of pneumococcal vaccine	12	12	$30.00	$22.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,672	416	$128.13	$106.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,511	354	$105.00	$73.82
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,330	156	$110.00	$94.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,190	385	$179.97	$113.14
99213 Established patient office or other outpatient visit, typically 15 minutes	1,106	374	$109.91	$77.14
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	608	22	$165.00	$140.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	504	400	$382.00	$206.90
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	256	62	$125.00	$112.42
99306 Initial nursing facility visit, typically 45 minutes per day	191	152	$215.00	$170.77
94060 Test to measure expiratory airflow and volume changes before and after medication administration	183	157	$120.00	$67.73
99291 Critical care, first 30-74 minutes	158	21	$352.15	$226.08
G0008 Administration of influenza virus vaccine	131	131	$30.00	$28.78
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	116	116	$35.00	$17.34
99496 Transitional care management services for problem of high complexity	85	75	$300.00	$244.59
G0179 Physician re-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 to affirm the initial imp	76	33	$125.00	$44.45
99495 Transitional care management services for problem of at least moderate complexity	62	59	$275.00	$173.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	41	$220.00	$139.61
G0180 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	46	45	$200.00	$57.16
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	19	$55.00	$21.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$375.00	$214.77
99238 Hospital discharge day management, 30 minutes or less	35	30	$225.00	$74.93
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$40.00	$18.86
31625 Biopsy of lung airway using an endoscope	18	18	$1100.00	$162.65

Medical Specialties & State Licenses

CMS Verified: 2026-05-27

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A46673

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00A466730 (CA)

Medicaid State Provider ID

CMCSUBK0S (CA)

Commercial Insurance / Payer ID Corporation Npi

1811024805 (CA)

Commercial Insurance / Payer ID Medicare Submitter Number

000022516 (CA)

Commercial Insurance / Payer ID Npi - Individual Professional Type 1

1689638587 (CA)

Commercial Insurance / Payer ID Medicare (Ptan) Provider Number

W15531 (CA)

Commercial Insurance / Payer ID State License

A46673 (CA)

Commercial Insurance / Payer ID Medicare Type 1 Ptan Effect 6/27/2012

GF413Z (CA)

Commercial Insurance / Payer ID Medicare Ptan Deactivated 6/26/2012

W15531 (CA)

Commercial Insurance / Payer ID Blue Shield

00A466730 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 27, 2012

Registered at 1174 AMAZON WAY, SIMI VALLEY, CA 930653156 (Tel: 8055275878)

📍

Updated Business Mailing Address September 27, 2012

Registered at 1174 AMAZON WAY, SIMI VALLEY, CA 930653156 (Tel: 8055275878)

👤

Provider Name / Credentials Updated September 27, 2012

Recorded as VIJAY KUMAR, MD,FCCP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2012

Specialist (License #A46673 in CA)

🟢

Initial NPI Registration & Enumeration April 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689638587

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 17, 2006

Last Update: May 27, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1174 Amazon Way

Simi Valley, CA 930653156

Phone: 8055275878

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.