NPIMap

Individual provider Active NPI

Mohana Shivram Kulkarni, M.D.

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1457419236
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A106999 Issued in CA
Practice address
8 Rosenblum
Irvine, CA 92602
Phone
(949) 910-2347
NPI assigned
Dec 5, 2006
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A106999 CA Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A106999 CA

Addresses

Primary practice location

8 Rosenblum
Irvine, CA 92602

Mailing address

2160 Barranca Pkwy # 1502
Irvine, CA 92606-4940
Phone (949) 490-0638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100209000261 CA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 8123104916 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
New York Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23521 Pasco de Valencia
Suite 108
Laguna Hills, CA 92653-3137
Phone (949) 910-2347

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A106999CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California-Irvine CurrentSince May 1, 2010 Accepting new patients
UC Regents Internal Medicine CurrentSince May 1, 2010 Accepting new patients
Aims Medcare Inc CurrentSince Dec 4, 2023 Accepting new patients
Centers for Family Medicine GP Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients
UC Regents CurrentSince May 1, 2010 Accepting new patients
UC Regents Current Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Monarch Healthcare, a Medical Group, Inc. Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
North General Physician Services PLLC Internal Medicine PastSince Jul 1, 2006 Accepting new patients

Locations

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

23521 Paseo de Valencia
Ste 108
Laguna Hills, CA 92653
Phone (949) 588-7262

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mohana.kulkarni.1@11277.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1457419236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 BARRANCA PKWY # 1502",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926064940",
            "telephone_number": "949-490-0638",
            "fax_number": "949-989-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ROSENBLUM",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92602",
            "telephone_number": "949-910-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "MOHANA",
        "middle_name": "SHIVRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A106999",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A106999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.