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

Dr. Nathan Joseph Vengalil, MD

Individual provider Dermatology Physician · NPI 1558984146

Dr. Nathan Joseph Vengalil, MD is a Dermatology in Los Angeles, California. Graduated from University of Michigan Medical School in 2020, 6 years ago. Practices with Peyman Ghasri MD a Prof Corp, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
University of Michigan Medical School
Licensed in
CA
In the registry since
2020
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

8631 W 3rd St Ste 1035
Los Angeles, CA 90048-5964
Phone: (310) 659-9075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A196365 (CA)

Record details

NPI number1558984146
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 19, 2020
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Peyman Ghasri Md A Prof Corp — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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