Organization Active NPI

Krishna Narayanan, M. D. Professional Corp

  • Surgery Physician
  • Montebello, CA
National Provider Identifier
1356438568
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A067018 Issued in CA
Legal business name
KRISHNA NARAYANAN, M. D. PROFESSIONAL CORP
Practice address
101 E Beverly Blvd
Suite 306
Montebello, CA 90640-4300
Phone
(323) 888-2323
Fax
(323) 888-1553
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Dr. Krishna Narayanan, M.D.NPI 1255376968
Title
President
Phone
(323) 888-2323

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A067018 CA Primary

Addresses

Primary practice location

101 E Beverly Blvd
Suite 306
Montebello, CA 90640-4300

Mailing address

641 S Santa Anita Ave
San Marino, CA 91108-1419
Phone (323) 888-2323

Other identifiers 1

IdentifierTypeStateIssuer
00A670180MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100701000409 CA Part B Supplier - Clinic/Group Practice 9739210964 Receives reassigned benefits from 1 practitioner
Practice locations: Montebello, CA; Monterey Park, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1356438568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 S SANTA ANITA AVE",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081419",
            "telephone_number": "323-888-2323",
            "fax_number": "323-888-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "address_2": "SUITE 306",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404300",
            "telephone_number": "323-888-2323",
            "fax_number": "323-888-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA NARAYANAN, M. D. PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "NARAYANAN",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-888-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A067018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A670180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.