Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gautam Vangipuram MD Inc

Organization Retina Specialist (Ophthalmology) Physician · NPI 1699474163

Gautam Vangipuram MD Inc is a Retina Specialist (Ophthalmology) Physician in Hermosa Beach, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 Pier Ave Ste D
Hermosa Beach, CA 90254-3801
Phone: (815) 342-1739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X

Record details

NPI number1699474163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gautam Vangipuram — Physician · (815) 342-1739
Other names Beach Cities Retina
NPI enumeratedFebruary 23, 2023
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023
Mailing address3565 Colonial Ave, Los Angeles, CA 90066-2708