Krishan K Malhotra MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A39832 Issued in CA

Legal business name

KRISHAN K MALHOTRA MD INC

Practice address

1902 Royaltry Dr
Suite 200
Pomona, CA 91767-3059

Phone

(909) 629-2290

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Krishan K Malhotra, MDNPI 1497831978

Title

Owner

Phone

(909) 629-2290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krishan Malhotra, M.D.

  • Gastroenterology Physician
  • Pomona, CA
  • NPI 1497831978
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1124340120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 ROYALTRY DR",
            "address_2": "SUITE 200",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673059",
            "telephone_number": "909-629-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ROYALTRY DR",
            "address_2": "SUITE 200",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673059",
            "telephone_number": "909-629-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHAN K MALHOTRA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "KRISHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-629-2290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A39832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucky Martin Kpaki
• Sandra Kraemer, PT
• Adrianne Sheri Kraus, M.P.T
• Melissa Kreutz
• Hailey Krewson
• Peyton John Krych
• Olga Krymskaya
• KT Tonnu an Optometric Corporation
• Abdul Rahman Kublan, MD
• Kristine Faith Kucharik

• Gastroenterology Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.