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 provides Retina Specialist (Ophthalmology) Physician services 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