Active NPI
Thota & Koka, AMC
- Pain Medicine Physician
- El Cajon, CA
National Provider Identifier
1043670490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- A53526
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G84603 | CA | |
| Pain Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A53526 | Other | CA | STATE LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.