Sonam Krishan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95020189 Issued in CA

Practice address

12415 Brianwood Dr
Riverside, CA 92503-6754

Phone

(951) 536-5764

NPI assigned

Mar 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Emergency Physicians Medical GroupGroup PAC ID 0547173882, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Riverside Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Riverside, CA
  • NPI 1972539039
  Medicare reassignment Care Compare group NPD
• Anaheim Emergency Medical Group

  • Emergency Medicine Physician
  • Anaheim, CA
  • NPI 1114626017
  Medicare reassignment NPD
• Clinica la Victoria a Medical Corporation

  • General Practice Physician
  • Bakersfield, CA
  • NPI 1184777922
  Medicare reassignment

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

• Ahmc Anaheim Regional Medical

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1891938122
  Care Compare affiliation

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1710627435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12415 BRIANWOOD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925036754",
            "telephone_number": "951-536-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12415 BRIANWOOD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925036754",
            "telephone_number": "951-536-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHAN",
        "first_name": "SONAM",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Riverside",
            "affiliation": "N",
            "address_1": "12415 Brianwood Dr",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925036754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melanie M Kraus
• Skye Noel Krell, NONE
• James Karl Kreter, MD
• Michelle Jolene Kriege, MFT, LVN
• Melanie R Kriete, CRNA
• Suraj Krishan, FNP-C
• Shree Krishnan, MD
• Krista Edwards LCSW, Therapy Services
• Krista Edwards, LCSW Therapy Services
• Emanuel Bambang Kristianto, MD

• Family Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.