Organization Active NPI

Lavanya Krishnan MD, a Medical Corporation

Doing business as Arya Dermatology

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1316495781
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A130272 Issued in CA
Legal business name
LAVANYA KRISHNAN MD, A MEDICAL CORPORATION
Doing business as
Arya Dermatology
Practice address
459 Geary St Ste 400
San Francisco, CA 94102-1275
Phone
(415) 329-5100
NPI assigned
Sep 14, 2016
Last updated
Sep 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Dr. Lavanya Krishnan, M.D.NPI 1316263759
Title
C.E.O.
Phone
(415) 329-5100

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A130272 CA Primary

Addresses

Primary practice location

459 Geary St Ste 400
San Francisco, CA 94102-1275

Mailing address

459 Geary St Ste 400
San Francisco, CA 94102-1275
Phone (415) 329-5100

Other names 1

  • Arya Dermatology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161118000818 CA Part B Supplier - Clinic/Group Practice 1759660541 Receives reassigned benefits from 4 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

459 Geary St
Ste 400
San Francisco, CA 94102
Phone (415) 329-5100

Practitioners & affiliated clinicians

Practitioners 4

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": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1316495781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 GEARY ST STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021275",
            "telephone_number": "415-329-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 GEARY ST STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021275",
            "telephone_number": "415-329-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVANYA KRISHNAN MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "LAVANYA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "415-329-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A130272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arya Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.