Krishna J Mohan M D Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KRISHNA J MOHAN M D INC

Practice address

171 W Cottage Dr
Covina, CA 91723-2010

Phone

(626) 331-0175

Fax

(626) 967-3849

NPI assigned

Sep 20, 2006

Organization subpart

Yes

Parent organization

KRISHNA J MOHAN M D INCAs reported in NPPES

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

Authorized official

Name

Krishna Jatavallabhula Mohan, MDNPI 1477645786

Title

Medical Director

Phone

(626) 331-0175

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Krishna J Mohan MD Inc3 organizations share this tax ID, including this one

Part of

Krishna J Mohan MD Inc

Other organizations with this tax ID 2

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

• Krishna J Mohan MD Inc

  • Nurse Practitioner
  • Covina, CA
  • NPI 1043818388
  NPD tax ID
• Mohan CKD Clinic

  • Nephrology Physician
  • Covina, CA
  • NPI 1780061135
  NPD tax ID

Locations

Practitioners 4

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

• Krishna Jatavallabhula Mohan, MD

  • Nephrology Physician
  • Covina, CA
  • NPI 1477645786

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Apoorva Ananth, MD

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1558866863
  Medicare reassignment Care Compare group NPD
• Sheri Aihuong Pham, MD

  • Nephrology Physician
  • Covina, CA
  • NPI 1639261951

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Farhad Rezvani, MD

  • Internal Medicine Physician
  • Covina, CA
  • NPI 1982796207
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1780781997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W COTTAGE STREET",
            "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 DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232010",
            "telephone_number": "626-331-0175",
            "fax_number": "626-967-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA J MOHAN M D INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KRISHNA J MOHAN M D INC",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "JATAVALLABHULA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-331-0175",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A341750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constantine Korovessis
• Donovan Kouthiraj
• Ryan Krajniak, M.A., LMFT
• Emily Madison Krakower, OTR/L
• Skylinn Starr Kraus
• Krishna J Mohan MD Inc
• Krishna RX Inc
• Kristin a. Liang, PH.D. Professional Psychological Services Inc
• Rachel Colleen Kristofic, M.A.ED., PPS, BCBA
• Jared Andrew Kroll, D.A

• Nephrology Physician in Covina, CA
• Providers in Covina, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.