Krishan Kumar Vashistha, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A31642 Issued in CA

Practice address

27141 Hidaway Ave
Ste 105
Canyon Country, CA 91351-4131

Phone

(661) 251-4783

Fax

(661) 251-8245

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Golden Oak Pediatrics

  • Pediatrics Physician
  • Santa Clarita, CA
  • NPI 1992307607
  NPD (past)
• Henry Mayo Newhall Memorial Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  NPD (past)
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1629062005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "STE 105",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-251-4783",
            "fax_number": "661-251-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "STE 105",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-251-4783",
            "fax_number": "661-251-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASHISTHA",
        "first_name": "KRISHAN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A31642",
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "A31642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A316420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paulo Joseph Uiseco
• VA Greater Los Angeles Health System
• Jennifer Marie Vaccaro, DC
• Guillermina Gigi Valdes Huckabee, LMFT
• Valencia Home Health Care, LLC
• Victory Mountain Psychotherapy, Inc
• Carolina Escaro Villate Mendoza, DMD
• Linh Nhuphuong Vo, D.D.S.
• Amy C Wagner, M.D.
• Carla Jean Walker, MFT

• Pediatrics Physician in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.