Gautam Vangipuram MD Inc
NPI 1699474163 · Retina Specialist (Ophthalmology) Physician · Hermosa Beach, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gautam Vangipuram MD Inc is a Retina Specialist (Ophthalmology) Physician organization in Hermosa Beach, CA (NPI 1699474163).
Provider details
- NPI number
- 1699474163
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gautam Vangipuram, Physician(815) 342-1739
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Beach Cities Retina
Registry dates
- Enumerated
- 2023-02-23
- Last updated
- 2023-02-23
- Certified
- 2023-02-23
Frequently asked questions
- What is Gautam Vangipuram MD Inc's NPI number?
- Gautam Vangipuram MD Inc's National Provider Identifier (NPI) is 1699474163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gautam Vangipuram MD Inc?
- Gautam Vangipuram MD Inc is classified in the NPPES registry as Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Gautam Vangipuram MD Inc located?
- Gautam Vangipuram MD Inc's practice location on file with NPPES is 555 Pier Ave Ste D, Hermosa Beach, CA 90254-3801.
- What is Gautam Vangipuram MD Inc's phone number?
- The practice phone number listed in the NPPES registry for Gautam Vangipuram MD Inc is (815) 342-1739.
- Does Gautam Vangipuram MD Inc accept Medicare?
- Gautam Vangipuram MD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gautam Vangipuram MD Inc?
- The authorized official listed on Gautam Vangipuram MD Inc's NPPES record is Gautam Vangipuram, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gautam Vangipuram MD Inc's NPI active?
- Yes — Gautam Vangipuram MD Inc's NPI (1699474163) is active in the NPPES registry as of the last update on 2023-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.