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

Individual provider Ophthalmology Physician · NPI 1780052233

Dr. Gautam Vangipuram, MD is an Ophthalmology in Pasadena, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2015, 11 years ago. Practices with Aarchan Joshi, MD Inc, an 8-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
11
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA, MO
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747
Phone: (626) 793-4168
Fax: (626) 793-6256
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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 · Licence C173301 (CA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 2019018140 (MO)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence 2019018140 (MO)

Record details

NPI number1780052233
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2015
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2015 (11 years in practice)
Group practice Aarchan Joshi, M.D. Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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