Individual provider Active NPI

Sowmya Krishnan, NP

  • Gerontology Nurse Practitioner
  • Costa Mesa, CA
National Provider Identifier
1164110219
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95024829 Issued in CA
Practice address
3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
Phone
(888) 789-9585
Fax
(562) 803-4500
NPI assigned
Apr 26, 2023
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95024829 CA Primary

Addresses

Primary practice location

3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061

Mailing address

3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713003277 CA Practitioner - Nurse Practitioner 9234599812 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Partners California Medical PCGroup PAC ID 5799290987, 20 clinicians
GN Medical Associates, IncGroup PAC ID 5092605816, 40 clinicians
Careconnectmd Ca PCGroup PAC ID 5496178055, 30 clinicians

Practice addresses (Care Compare)

Costa Mesa, CA 92626
Phone (888) 789-9585

3090 Bristol St
Suite 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024829CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation CurrentSince Jun 5, 2023 Accepting new patients
GN Medical Associates, Inc. Gerontology CurrentSince Sep 15, 2025 Accepting new patients
Careconnectmd Ca PC CurrentSince Sep 15, 2025 Accepting new patients
Algos Inc., a Medical Corporation Current Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Jun 5, 2023 Accepting new patients
Care Partners California Medical PC CurrentSince Sep 15, 2025 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Seasons Hospice & Palliative Care of California- San Bernardino, LLC Past Accepting new patients
Seasons Hospice & Palliative Care of California, LLC PastSince Jul 2, 2023 Accepting new patients

Locations

13193 Central Ave
Ste 220
Chino, CA 91710
Phone (909) 591-0843

1325 E Cooley Dr
Ste 101
Colton, CA 92324
Phone (909) 204-7860

495 E Rincon St
Ste 105
Corona, CA 92879
Phone (888) 969-9808

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

224 N Fair Oaks Ave
Ste 300
Pasadena, CA 91103
Phone (626) 696-1451

1900 Royalty Dr
Ste 120
Pomona, CA 91767
Phone (909) 450-0377

69780 Stellar Dr
#A
Rancho Mirage, CA 92270
Phone (760) 424-3380

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Interoperability endpoints

  • Direct secure messaging: sowmyakrishnan@chcca.allscriptsdirect.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1164110219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 BRISTOL ST STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263061",
            "telephone_number": "888-789-9585",
            "fax_number": "562-803-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 BRISTOL ST STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263061",
            "telephone_number": "888-789-9585",
            "fax_number": "562-803-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "SOWMYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95024829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.