NPIMap

Organization Active NPI

Krishan S. Khurana MD, Inc.

  • Rheumatology Physician
  • Santa Ana, CA
National Provider Identifier
1164602496
Registry record updated Nov 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A25829 Issued in CA
Legal business name
KRISHAN S. KHURANA MD, INC.
Practice address
2220 E Fruit St
Suite #216
Santa Ana, CA 92701-4459
Phone
(714) 547-0969
Fax
(714) 547-4220
NPI assigned
Nov 3, 2007
Last updated
Nov 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2007

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

Authorized official

Name
Krishan Khurana, MDNPI 1972606549
Title
President/Ceo
Phone
(714) 547-0969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A25829 CA Primary
Psychiatry Physician 2084P0800X A36661 CA

Addresses

Primary practice location

2220 E Fruit St
Suite #216
Santa Ana, CA 92701-4459

Mailing address

2220 E Fruit St
Suite #216
Santa Ana, CA 92701-4459
Phone (714) 547-0969

Other identifiers 2

IdentifierTypeStateIssuer
00A366610MedicaidCA
00A258290MedicaidCA

National Provider Directory

National Provider Directory

Locations

2220 E Fruit St
Ste 216
Santa Ana, CA 92701
Phone (714) 547-0969

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1194048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194048000000",
    "number": "1164602496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E FRUIT ST",
            "address_2": "SUITE #216",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014459",
            "telephone_number": "714-547-0969",
            "fax_number": "714-547-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E FRUIT ST",
            "address_2": "SUITE #216",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014459",
            "telephone_number": "714-547-0969",
            "fax_number": "714-547-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHAN S. KHURANA MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-03",
        "last_updated": "2007-11-03",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "KRISHAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-547-0969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A25829",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A36661",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A366610",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A258290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2007; 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.