Kishor Vachhani MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KISHOR VACHHANI MD INC

Practice address

81833 Dr Carreon Blvd Ste 7
Indio, CA 92201-5590

Phone

(760) 775-8889

Fax

(760) 775-6192

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kishor D Vachhani, MDNPI 1750479168

Title

Physician

Phone

(760) 391-2049

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Kishor D Vachhani, MD

  • Internal Medicine Physician
  • Indio, CA
  • NPI 1750479168
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1760074124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81833 DR CARREON BLVD STE 7",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015590",
            "telephone_number": "760-775-8889",
            "fax_number": "760-775-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81833 DR CARREON BLVD STE 7",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015590",
            "telephone_number": "760-775-8889",
            "fax_number": "760-775-6192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35400 Bob Hope Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922701772",
            "country_code": "US",
            "telephone_number": "760-770-3700 x000",
            "fax_number": "760-770-3766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KISHOR VACHHANI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "VACHHANI",
        "authorized_official_first_name": "KISHOR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "760-391-2049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo J King, PT
• Theodora King, MFT INTERN
• Nicole Kippel, ACSW
• Amber Kirby
• Karl David Kirsch
• Jessica Beatrice Knox
• Joseph William Knyvett
• Dannelle Joy Kohnert
• Milagros Kojo, LVN
• Diana Kolbe

• Primary Care Clinic/Center in Indio, CA
• Providers in Indio, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.