Organization Active NPI

Rajeev Krishan M D a Professional Corporation

  • Gastroenterology Physician
  • Bakersfield, CA
National Provider Identifier
1376875518
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A76632 Issued in CA
Legal business name
RAJEEV KRISHAN M D A PROFESSIONAL CORPORATION
Practice address
9900 Stockdale Hwy Ste 208
Bakersfield, CA 93311-3634
Phone
(661) 735-3915
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Rajeev Krishan, MDNPI 1033124854
Title
President
Phone
(661) 735-3915

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A76632 CA Primary

Addresses

Primary practice location

9900 Stockdale Hwy Ste 208
Bakersfield, CA 93311-3634

Mailing address

9900 Stockdale Hwy Ste 208
Bakersfield, CA 93311-3634
Phone (661) 735-3915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101129000069 CA Part B Supplier - Clinic/Group Practice 8224224555 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

9900 Stockdale Hwy
Ste 208
Bakersfield, CA 93311
Phone (661) 330-5130

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": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1376875518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 STOCKDALE HWY STE 208",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113634",
            "telephone_number": "661-735-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 STOCKDALE HWY STE 208",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113634",
            "telephone_number": "661-735-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJEEV KRISHAN M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "KRISHAN",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-735-3915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A76632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.