NPIMap

Organization Active NPI

Shreya Medical Group Inc

  • Psychiatry Physician
  • Corona, CA
National Provider Identifier
1639566367
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C52158 Issued in CA
Legal business name
SHREYA MEDICAL GROUP INC
Practice address
2471 Rosser Dr
Corona, CA 92879-3319
Phone
(951) 642-9674
Fax
(888) 974-8638
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Tapeesh Kansal, MD
Title
Owner
Phone
(951) 642-9674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X C52158 CA Primary

Addresses

Primary practice location

2471 Rosser Dr
Corona, CA 92879-3319

Mailing address

2471 Rosser Dr
Corona, CA 92879-3319
Phone (951) 642-9674

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1639566367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 ROSSER DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793319",
            "telephone_number": "951-642-9674",
            "fax_number": "888-974-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 ROSSER DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793319",
            "telephone_number": "951-642-9674",
            "fax_number": "888-974-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREYA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "KANSAL",
        "authorized_official_first_name": "TAPEESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-642-9674",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C52158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.