Organization Active NPI

Krishan K Goel MD Inc.

  • Primary Care Clinic/Center
  • Turlock, CA
National Provider Identifier
1649201823
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KRISHAN K GOEL MD INC.
Practice address
1100 Delbon Ave
Turlock, CA 95382-2021
Phone
(209) 667-0905
Fax
(209) 667-0922
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Krishan Goel, MD
Title
President
Phone
(209) 667-0905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1100 Delbon Ave
Turlock, CA 95382-2021

Mailing address

1100 Delbon Ave
Turlock, CA 95382-2021
Phone (209) 667-0905

Other identifiers 1

IdentifierTypeStateIssuer
GR0078290MedicaidCA

Other names 1

  • TURLOCK PEDIATRIC MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1649201823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822021",
            "telephone_number": "209-667-0905",
            "fax_number": "209-667-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822021",
            "telephone_number": "209-667-0905",
            "fax_number": "209-667-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHAN K GOEL MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "KRISHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-667-0905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TURLOCK PEDIATRIC MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.