Kishore K Vasant I, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A33638 Issued in CA

Practice address

25102 Jefferson Ave
Suite # C
Murrieta, CA 92562-1707

Phone

(951) 698-8876

Fax

(951) 698-5560

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1790711661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25102 JEFFERSON AVE",
            "address_2": "SUITE # C",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621707",
            "telephone_number": "951-698-8876",
            "fax_number": "951-698-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25102 JEFFERSON AVE",
            "address_2": "SUITE # C",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621707",
            "telephone_number": "951-698-8876",
            "fax_number": "951-698-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASANT",
        "first_name": "KISHORE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A33638",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A33638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A336382",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Vanegas
• David Vanvoorhis
• Brianna Vanyo, RD
• Abigail Varas
• Robert Magnus Vartazarov, FNP
• Diego Vasquez-Lamadrid
• Diane Jean Vasquez
• Gage Vaughan, RBT
• Kim Vaughan
• Arlette Vazquez

• Allergy & Immunology Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.