Kannappan Mohan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C42107 Issued in CA

Practice address

583 West Putnam Avenue
Porterville, CA 93257-3260

Phone

(559) 781-6655

Fax

(559) 781-7876

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of California - Department of Developmental Services 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Porterville Developmental Center Hospital, Porterville, CA, CCN 050546

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• State of California - Department of Developmental Services

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1154372498

  CA

  Medicare reassignment Care Compare group NPD
• State of California - Department of Developmental Services

  • General Acute Care Hospital
  • Porterville, CA
  • NPI 1588615835
  Care Compare group NPD
• Agnews Community Clinic

  • Developmental Disabilities Clinic/Center
  • San Jose, CA
  • NPI 1710148515
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• State of California - Department of Developmental Services

  • General Acute Care Hospital
  • Porterville, CA
  • NPI 1588615835

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1700949872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 WEST PUTNAM AVENUE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573260",
            "telephone_number": "559-781-6655",
            "fax_number": "559-781-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 WEST PUTNAM AVENUE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573260",
            "telephone_number": "559-781-6655",
            "fax_number": "559-781-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "KANNAPPAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C42107",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C42107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C421070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amirali Mirenayat, DDS
• Sukumar Misra, M.D
• Missakian Chiropractic, Inc.
• Massey Wayne Missakian, D.C.
• Karina Isela Moffett, NP
• Cristina Montanez
• Leann Michelle Moore
• Whitney Moorhead, PPS
• Adriana Moreno Lemus
• Julia Kristine Moreno-Vega, LMFT

• All providers in Porterville, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.