Individual provider Active NPI

Pad S. Krishna, MD

  • Orthopaedic Surgery Physician
  • Lakewood, CA
National Provider Identifier
1669558276
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A30918 Issued in CA
Practice address
3650 E. South St
Suite 411
Lakewood, CA 90712-1512
Phone
(562) 531-7757
Fax
(562) 531-0833
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A30918 CA Primary

Addresses

Primary practice location

3650 E. South St
Suite 411
Lakewood, CA 90712-1512

Mailing address

3650 E. South St
Suite 411
Lakewood, CA 90712-1512
Phone (562) 531-7757

Other identifiers 1

IdentifierTypeStateIssuer
0656920001OtherCADME

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
I20171117000767 CA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 1850474214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30918CAMDOrthopedic Chiropractor
A30918CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1669558276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 E. SOUTH ST",
            "address_2": "SUITE 411",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121512",
            "telephone_number": "562-531-7757",
            "fax_number": "562-531-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 E. SOUTH ST",
            "address_2": "SUITE 411",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121512",
            "telephone_number": "562-531-7757",
            "fax_number": "562-531-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNA",
        "first_name": "PAD",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A30918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0656920001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.