DR. MITEN VASA (M.D.) – Rheumatology Physician, NPI 1972769792

DR. MITEN VASA (M.D.) is a healthcare provider. based in Fontana, California. specializing in INTERNAL MEDICINE, RHEUMATOLOGY. They hold the professional credentials M.D.. They hold a License No. A104911 (CA). The NPI Number for DR. MITEN VASA (M.D.) is 1972769792

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. MITEN VASA (M.D.)
NPI
1972769792
Phone
Not provided
Address
9961 SIERRA AVE
Enumeration Date
31 July 2008
Last Update Date
22 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9097245000
Graduation Year
2007 (19 years ago)
PAC ID
1850425687
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20100816001076
Address ID
CA917617925ON2295XAVEX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for DR. MITEN VASA (M.D.)

  • Kaiser Permanente Fontana Medical Center, 9961, Sierra Avenue, Fontana, San Bernardino County, California, 92335, United States

    KAISER PERMANENTE, DEPARTMENT OF INTERNAL MEDICINE

    FONTANA, CA 923356720

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2023-07-14 • Largest payer in this snapshot: Aurinia Pharma U.S., Inc. ($121).

Total Amount

$121

General + Research + Ownership

Payments

1

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Aurinia Pharma U.S., Inc.$121
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100816001076IInternal MedicineCATBD
I20240418004234IRheumatologyHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92335)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify DR. MITEN VASA (M.D.) for billing?
Administrative and clinical systems typically use NPI 1972769792 for DR. MITEN VASA (M.D.).
Is DR. MITEN VASA (M.D.)'s NPI status active today?
Active status means DR. MITEN VASA (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. MITEN VASA (M.D.) does?
Insurance directories may phrase it differently, but here DR. MITEN VASA (M.D.) maps to Rheumatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MITEN VASA (M.D.)?
DR. MITEN VASA (M.D.) is associated with Fontana, California in the same public data insurers reference.
Who maintains DR. MITEN VASA (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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