Organization Active NPI

Mohan CKD Clinic

  • Nephrology Physician
  • Covina, CA
National Provider Identifier
1780061135
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MOHAN CKD CLINIC
Practice address
171 W Cottage St
Covina, CA 91723
Phone
(626) 331-0175
Fax
(626) 967-3849
NPI assigned
May 5, 2015
Last updated
May 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
KRISHNA J MOHAN M.D., INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Dr. Krishna J Mohan, M.D.NPI 1477645786
Title
Owner
Phone
(626) 331-0175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

171 W Cottage St
Covina, CA 91723

Mailing address

171 W Cottage St
Covina, CA 91723
Phone (626) 331-0175

National Provider Directory

National Provider Directory
Tax ID family
Mohan CKD Clinic3 organizations share this tax ID, including this one
Part of
Mohan CKD Clinic

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1780061135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W COTTAGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-331-0175",
            "fax_number": "626-967-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W COTTAGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-331-0175",
            "fax_number": "626-967-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN CKD CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KRISHNA J MOHAN M.D., INC",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-331-0175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.