Organization Active NPI

Thota & Koka, AMC

  • Pain Medicine Physician
  • El Cajon, CA
National Provider Identifier
1043670490
Registry record updated Feb 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A53526 Issued in CA
Legal business name
THOTA & KOKA, AMC
Practice address
2732 Navajo Rd
Suite 200
El Cajon, CA 92020-2149
Phone
(619) 287-7246
Fax
(619) 825-8250
NPI assigned
Feb 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2016

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

Authorized official

Name
Mr. Krish R Thota
Title
Managing Director
Phone
(619) 287-7246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X G84603 CA
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X A53526 CA Primary

Addresses

Primary practice location

2732 Navajo Rd
Suite 200
El Cajon, CA 92020-2149

Mailing address

2732 Navajo Rd
Suite 200
El Cajon, CA 92020-2149
Phone (619) 287-7246

Other identifiers 1

IdentifierTypeStateIssuer
A53526OtherCASTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456531200000",
    "number": "1043670490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 NAVAJO RD",
            "address_2": "SUITE 200",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202149",
            "telephone_number": "619-287-7246",
            "fax_number": "619-825-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 NAVAJO RD",
            "address_2": "SUITE 200",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202149",
            "telephone_number": "619-287-7246",
            "fax_number": "619-825-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOTA & KOKA, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-27",
        "last_updated": "2016-02-27",
        "status": "A",
        "authorized_official_last_name": "THOTA",
        "authorized_official_first_name": "KRISH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "619-287-7246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G84603",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A53526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A53526",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2016; 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.