Mukund Gnanadesikan, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

C53063 Issued in CA

Practice address

2261 Elm St
Napa, CA 94559-3721

Phone

(707) 259-8167

Fax

(707) 259-8651

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mukund.gnanadesikan@157411.advancedmd-direct.com

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1699868133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 NAPA VALLEY CORPORATE DR.",
            "address_2": "BLDGS A & B",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945596216",
            "telephone_number": "707-259-8167",
            "fax_number": "707-259-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 ELM ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945593721",
            "telephone_number": "707-259-8167",
            "fax_number": "707-259-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNANADESIKAN",
        "first_name": "MUKUND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "28084",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C53063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Emanuel Glasser, M.D.
• Bailey Ellen Glaves, PH.D.
• Barrie Glen, PH.D.
• Kimita Glenn
• Betina Glover
• Sarah E Goble, M.A., A.T.C.
• Tanya Godinez
• Kevin Blaine Godwin, LMFT
• Tejshri J Gohel, NP
• Margaret A Gokey, MS, OTR/L, CHT

• Child & Adolescent Psychiatry Physician in Napa, CA
• Providers in Napa, 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 Aug 18, 2016; 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.