Organization Active NPI

Krishna J Mohan MD Inc

  • Nurse Practitioner
  • Covina, CA
National Provider Identifier
1043818388
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Oct 9, 2020

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.