NPIMap

Organization Active NPI

Vasanthi Krishna MD PC

  • Clinical Neurophysiology Physician
  • Folsom, CA
National Provider Identifier
1770907453
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
A119222 Issued in CA
Legal business name
VASANTHI KRISHNA MD PC
Practice address
1710 Prairie City Rd
Suite No: 120-125
Folsom, CA 95630-9592
Phone
(916) 512-3356
Fax
(916) 512-3322
NPI assigned
Feb 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Vasanthi Krishna, MDNPI 1790741734
Title
Ceo
Phone
(916) 512-3356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0600X A119222 CA Primary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084S0012X A119222 CA

Addresses

Primary practice location

1710 Prairie City Rd
Suite No: 120-125
Folsom, CA 95630-9592

Mailing address

1710 Prairie City Rd
Suite No: 120-125
Folsom, CA 95630-9592
Phone (916) 512-3356

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1770907453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 PRAIRIE CITY RD",
            "address_2": "SUITE NO: 120-125",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309592",
            "telephone_number": "916-512-3356",
            "fax_number": "916-512-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 PRAIRIE CITY RD",
            "address_2": "SUITE NO: 120-125",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309592",
            "telephone_number": "916-512-3356",
            "fax_number": "916-512-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASANTHI KRISHNA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "KRISHNA",
        "authorized_official_first_name": "VASANTHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-512-3356",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A119222",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A119222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.