Active NPI
Krishna J Mohan MD Inc
- Nurse Practitioner
- Covina, CA
National Provider Identifier
1043818388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- KRISHNA J MOHAN MD INC
- Practice address
- 171 West Cottage St
Covina, CA 91723-2007 - Phone
- (626) 331-0175
- Fax
- (626) 967-3849
- NPI assigned
- Oct 9, 2020
- 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
- Dr. Krishna J Mohan, MD
- Title
- Owner
- Phone
- (626) 331-0175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
171 West Cottage St
Covina, CA 91723-2007
Mailing address
171 West Cottage St
Covina, CA 91723-2007
Phone (626) 331-0175
National Provider Directory
National Provider Directory- Tax ID family
- Krishna J Mohan MD Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nephrology Physician
- Covina, CA
- NPI 1780781997
-
- Nephrology Physician
- Covina, CA
- NPI 1780061135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602201600000",
"number": "1043818388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 WEST COTTAGE ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232007",
"telephone_number": "626-331-0175",
"fax_number": "626-967-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 WEST COTTAGE ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232007",
"telephone_number": "626-331-0175",
"fax_number": "626-967-3849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISHNA J MOHAN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-09",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A",
"authorized_official_last_name": "MOHAN",
"authorized_official_first_name": "KRISHNA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-331-0175",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.