IndividualActive
Gautam Vangipuram, M.D
NPI 1780052233 · Retina Specialist (Ophthalmology) Physician · Pasadena, CA
Provider details
- NPI number
- 1780052233
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 2019018140 (MO)
Practice location
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747
Phone: (626) 793-4168
Fax: (626) 793-6256
Mailing address
1900 W Garvey Ave S Unit 335
West Covina, CA 91790-2656
Registry dates
- Enumerated
- 2015-09-14
- Last updated
- 2022-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.