Organization Active NPI

A.S.Lalith Mohan M.D. Prof. Inc

  • Cardiovascular Disease Physician
  • Petaluma, CA
National Provider Identifier
1366559486
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A32849 Issued in CA
Legal business name
A.S.LALITH MOHAN M.D. PROF. INC
Practice address
108 Lynch Creek Way
#3
Petaluma, CA 94954
Phone
(707) 762-5078
Fax
(707) 763-7030
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Mr. Adamane S Lalith Mohan, MD
Title
President
Phone
(707) 762-5078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A32849 CA Primary

Addresses

Primary practice location

108 Lynch Creek Way
#3
Petaluma, CA 94954

Mailing address

108 Lynch Creek Way
#3
Petaluma, CA 94954
Phone (707) 762-5078

Other names 1

  • A.S.LALITH MOHAN M.D. PROF.INC Doing business as

National Provider Directory

National Provider Directory

Locations

108 Lynch Creek Way
Ste 3
Petaluma, CA 94954
Phone (707) 762-5078

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1366559486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LYNCH CREEK WAY",
            "address_2": "#3",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94954",
            "telephone_number": "707-762-5078",
            "fax_number": "707-763-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LYNCH CREEK WAY",
            "address_2": "#3",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94954",
            "telephone_number": "707-762-5078",
            "fax_number": "707-763-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.S.LALITH MOHAN M.D. PROF. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "LALITH MOHAN",
        "authorized_official_first_name": "ADAMANE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-762-5078",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A32849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.S.LALITH MOHAN M.D. PROF.INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.