S. Krishnan MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A054481 Issued in CA

Legal business name

S. KRISHNAN MD INC

Practice address

1031 E Latham Ave
#3
Hemet, CA 92543-4425

Phone

(951) 766-7030

Fax

(951) 766-5800

NPI assigned

Aug 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Subbarayan Krishnan, M.D.

Title

Owner

Phone

(951) 766-7030

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• SUBBARAYAN KRISHNAN MD Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1043526882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E LATHAM AVE",
            "address_2": "#3",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434425",
            "telephone_number": "951-766-7030",
            "fax_number": "951-766-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E LATHAM AVE",
            "address_2": "#3",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434425",
            "telephone_number": "951-766-7030",
            "fax_number": "951-766-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. KRISHNAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "SUBBARAYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-766-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A054481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00A544810",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4882835",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "1023047198 01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUBBARAYAN KRISHNAN MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Destiny Ruiz
• Ignacio Saucedo Ruiz
• Victor Ruiz, MD
• Keasha Russell, ATC
• Eileen Ruvalcaba
• Melinda Christina Sabetzadeh, LMFT116388
• Scott Mathew Sabin, P.T., D.P.T.
• Michael J Sachs, DO
• Brandy Sadenwasser
• Aaron Safarian, MD

• Primary Care Clinic/Center in Hemet, CA
• Providers in Hemet, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.