Active NPI
Krishan K Goel MD Inc.
- Primary Care Clinic/Center
- Turlock, CA
National Provider Identifier
1649201823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0078290 | Medicaid | CA |
Other names 1
- TURLOCK PEDIATRIC MEDICAL GROUP
National Provider Directory
National Provider DirectoryNPI 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.