Individual provider Active NPI

Kris Manchandia, M.D.

  • Surgery Physician
  • Arcadia, CA
National Provider Identifier
1760741649
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A125432 Issued in CA
Practice address
612 W Duarte Rd Ste 801
Arcadia, CA 91007
Phone
(626) 600-2094
Fax
(626) 226-5827
NPI assigned
May 11, 2012
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A125432 CA Primary

Addresses

Primary practice location

612 W Duarte Rd Ste 801
Arcadia, CA 91007

Mailing address

290 E Verdugo Ave Ste 101
Burbank, CA 91502-1331
Phone (818) 632-7631

Other practice location 1

290 E Verdugo Ave Ste 101
Burbank, CA 91502-1331
Phone (818) 632-7631

Other names 1

  • Dr. Karan Manchandia Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170919001613 CA Practitioner - General Surgery 1658697156 Reassigns benefits to 2 organizations
Practice locations: Burbank, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York Medical College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asok Doraiswamy MD IncGroup PAC ID 7214156165, 6 clinicians

Practice addresses (Care Compare)

1703 Verdugo Blvd
La Canada Flintridge, CA 91011-3014
Phone (818) 590-5409

612 W Duarte Rd
Suite 804
Arcadia, CA 91007-9250
Phone (626) 600-2094

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A125432CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asok Doraiswamy MD Inc Surgery CurrentSince Aug 1, 2017 Accepting new patients
Flintridge Surgical Solutions Surgery CurrentSince Dec 23, 2024 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Huntington Hospital Association Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Locations

612 W Duarte Rd
Ste 801
Arcadia, CA 91007
Phone (626) 292-6899

612 W Duarte Rd
Ste 804
Arcadia, CA 91007
Phone (626) 247-1192

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1760741649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E VERDUGO AVE STE 101",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021331",
            "telephone_number": "818-632-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD STE 801",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-600-2094",
            "fax_number": "626-226-5827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 E Verdugo Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915021331",
            "country_code": "US",
            "telephone_number": "818-632-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCHANDIA",
        "first_name": "KRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A125432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARAN",
            "last_name": "MANCHANDIA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.