Kiran U. Koka, M.D. - a Professional Corp

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A46218 Issued in CA

Legal business name

KIRAN U. KOKA, M.D. - A PROFESSIONAL CORP

Practice address

49 Quail CT
Suite # 209
Walnut Creek, CA 94596-5550

Phone

(925) 674-4191

Fax

(925) 686-0247

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Kiran U. Koka, M.D.NPI 1952411274

Title

President

Phone

(925) 934-8153

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiran U Koka, M.D.

  • Child & Adolescent Psychiatry Physician
  • Concord, CA
  • NPI 1952411274
  NPD (past) Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1679598338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 TIMBERLEAF CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985406",
            "telephone_number": "925-256-1486",
            "fax_number": "925-256-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 QUAIL CT",
            "address_2": "SUITE # 209",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965550",
            "telephone_number": "925-674-4191",
            "fax_number": "925-686-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRAN U. KOKA, M.D. - A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KOKA",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-934-8153",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A46218",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A46218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN AND SURGEON",
            "identifier": "A46218",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A46218",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasandra Y Kinnicutt
• Andrea C Kinser-Withey, RBT
• Claudia Kinsey
• Genevieve Nicole Kinsey, MD
• Sean Kinsman, P.T., DPT
• Ciera Kirby
• Katharine A Kirchenbauer
• Kalila A Kirk, FNP
• Haley D Kirkpatrick, N.P.
• Laurie Kirkpatrick, PH.D.

• Child & Adolescent Psychiatry Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.