NPIMap

Organization Active NPI

Karma Doctors & Associates, P.C.

  • Psychiatry Physician
  • Villa Park, CA
National Provider Identifier
1205450418
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KARMA DOCTORS & ASSOCIATES, P.C.
Practice address
17853 Santiago Blvd Ste 107
Villa Park, CA 92861-4199
Phone
(951) 529-5518
NPI assigned
Jun 3, 2020
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Dr. Rajagopal Keerthy Sunder, MDNPI 1972572824
Title
Chief Medical Officer
Phone
(951) 529-5518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

17853 Santiago Blvd Ste 107
Villa Park, CA 92861-4199

Mailing address

17853 Santiago Blvd Ste 107
Villa Park, CA 92861-4199
Phone (951) 529-5518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201012001888 CA Part B Supplier - Clinic/Group Practice 0143640292 Receives reassigned benefits from 12 practitioners
Practice locations: Palm Springs, CA; Twentynine Palms, CA

National Provider Directory

National Provider Directory

Locations

77530 Enfield Ln
Ste H2
Palm Desert, CA 92211
Phone (951) 529-5518

72724 29 Palms Hwy
Ste 107A
Twentynine Palms, CA 92277
Phone (951) 297-8375

17853 Santiago Blvd
Ste 107
Villa Park, CA 92861
Phone (951) 529-5518

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1205450418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17853 SANTIAGO BLVD STE 107",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614199",
            "telephone_number": "951-529-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17853 SANTIAGO BLVD STE 107",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614199",
            "telephone_number": "951-529-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARMA DOCTORS & ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "SUNDER",
        "authorized_official_first_name": "RAJAGOPAL",
        "authorized_official_middle_name": "KEERTHY",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "951-529-5518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.