Individual provider Active NPI

Aruna Krishnaswamy, M.D.

  • Internal Medicine Physician
  • Westminster, CA
National Provider Identifier
1548479140
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A50217 Issued in CA
Practice address
7955 Westminster Blvd
Westminster, CA 92683-4001
Phone
(714) 379-3221
Fax
(714) 379-3211
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A50217 CA Primary

Addresses

Primary practice location

7955 Westminster Blvd
Westminster, CA 92683-4001

Mailing address

P.O.Box 2989
Seal Beach, CA 90740-1989
Phone (714) 379-3221

Other identifiers 2

IdentifierTypeStateIssuer
00A502170MedicaidCA
A50217OtherCAPHYSICIAN LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000422 CA Practitioner - Internal MedicinePractitioner - Infectious Disease 5799671335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathway Medical Group IncGroup PAC ID 5092776690, 17 clinicians

Practice addresses (Care Compare)

7955 Westminster Blvd
Westminster, CA 92683-4001
Phone (714) 379-3221

Hospital & facility affiliations

  • Elegance Healthcare, Inc Home health agency, Encino, CA, CCN 553107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50217CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Medical Group, Inc. Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Pathway Medical Group, Inc Current Accepting new patients
Pathway Medical Group, Inc Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Amistad Multi Specialty Medical Group Inc. Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine PastSince Jun 1, 2007 Accepting new patients

Locations

7955 Westminster Blvd
Westminster, CA 92683
Phone (714) 379-2411

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1548479140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 2989",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907401989",
            "telephone_number": "714-379-3221",
            "fax_number": "714-379-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834001",
            "telephone_number": "714-379-3221",
            "fax_number": "714-379-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNASWAMY",
        "first_name": "ARUNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A502170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "A50217",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.