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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GAUTAM VANGIPURAM, M.D

Active

DR. GAUTAM VANGIPURAM, M.D is a Sports Medicine (Emergency) healthcare provider located in PASADENA, California. NPI 1780052233 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Emergency) · PASADENA, CA

Registration Details

NPI Number
1780052233
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2015 (10.770610225466 yrs)
Last Updated
Jan 10, 2022
Licenses
2019018140 (MO)
2019018140 (MO)
C173301 (CA)

Practice Information

Address
2619 E COLORADO BLVD STE 150
PASADENA, CA, 911073747
Browse CA providers · Browse ZIP 91107
Phone
6267934168
Fax
6267936256
Primary Specialty
Sports Medicine (Emergency)
207WX0107X
Additional Specialty
Sports Medicine (Emergency)
Additional Specialty
Sports Medicine (Emergency)

Other Sports Medicine (Emergency) Providers in PASADENA, CA

Name Credential NPI
EUGENE Y CHANG MD 1265432991
TOM S CHANG MD 1609848969
DR. PAYAM AMINI M.D 1205036456
DR. JEFFREY LYLE STEVENS M.D. 1114254711
DR. SAHAR BEDROOD MD,PHD 1871851923
GIULIA CORRADETTI 1871474825
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.