Krunal J Mehta MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KRUNAL J MEHTA MD INC

Practice address

130 W Route 66 Ste 214
Glendora, CA 91740-6251

Phone

(626) 335-4129

Fax

(626) 335-6177

NPI assigned

Jul 31, 2015

Last updated

Jul 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krunal Mehta, MDNPI 1982867602

Title

President

Phone

(626) 656-0256

Specialties & licenses 1

Addresses

Tax ID family

Krunal J Mehta2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Krunal J Mehta MD Inc

  • Family Medicine Physician
  • Glendora, CA
  • NPI 1396063970
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krunal Jayantkumar Mehta, M.D.

  • Family Medicine Physician
  • Glendora, CA
  • NPI 1982867602
  NPD (past) Authorized official

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1073999181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66 STE 214",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406251",
            "telephone_number": "626-335-4129",
            "fax_number": "626-335-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66 STE 214",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406251",
            "telephone_number": "626-335-4129",
            "fax_number": "626-335-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUNAL J MEHTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "KRUNAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-656-0256",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Robert Koontz, M.S.
• Ashlene Janiece Korcek, PA-C
• Erika Christenson Kosterlitzky, LMFT
• Selena Isela Kradolfer, LMFT
• Krekor a Tomassian MD a Prof Corp
• Krunal J Mehta MD Inc
• Li-Yu Ku, PHARMD
• Manmohan Kumar, M.D.
• Grace Chia Kuo
• Tiffany Kupfer

• Internal Medicine Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.