S. Chandra Mohan, M.D. Medical Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

12960 Issued in CA

Legal business name

S. CHANDRA MOHAN, M.D. MEDICAL CORPORATION

Practice address

16177 Kamana Road
Apple Valley, CA 92307-1377

Phone

(760) 946-0618

Fax

(760) 946-0584

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. S. Chandra Mohan, M.D.

Title

Owner

Phone

(760) 946-0618

Specialties & licenses 1

Addresses

Other names 1

• HIGH DESERT EYE CENTER Doing business as

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1154523926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16177 KAMANA ROAD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071377",
            "telephone_number": "760-946-0618",
            "fax_number": "760-946-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16177 KAMANA ROAD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071377",
            "telephone_number": "760-946-0618",
            "fax_number": "760-946-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. CHANDRA MOHAN, M.D. MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "S. CHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-946-0618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGH DESERT EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.