Individual provider Active NPI

Vasanthi Krishna, M.D.

  • Clinical Neurophysiology Physician
  • Sacramento, CA
National Provider Identifier
1790741734
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
A119222 Issued in CA
Practice address
87 Scripps Drive Suite 210
Sacramento, CA 95825-7977
Phone
(916) 333-5311
Fax
(916) 333-5990
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X A119222 CA
Neurology Physician 2084N0400X A11222 CA
Clinical Neurophysiology Physician 2084N0600X 35.086738 OH
Clinical Neurophysiology Physician 2084N0600X A119222 CA Primary

Addresses

Primary practice location

87 Scripps Drive Suite 210
Sacramento, CA 95825-7977

Mailing address

87 Scripps Dr
Ste 210
Sacramento, CA 95825-6372
Phone (916) 333-5311

Other names 1

  • Dr. Vasanthi Krishna Professional 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
I20120210000299 CA Practitioner - NeurologyPractitioner - Other (Physician) 3072523711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A11222CAMDNeurology Physician
A119222CAMDClinical Neurophysiology Physician
35.086738OHMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vasanthi Krishna MD PC Clinical Neurophysiology CurrentSince Mar 10, 2014 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

87 Scripps Dr
Ste 210
Sacramento, CA 95825
Phone (916) 425-2399

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1790741734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SCRIPPS DR",
            "address_2": "STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256372",
            "telephone_number": "916-333-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SCRIPPS DRIVE SUITE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257977",
            "telephone_number": "916-333-5311",
            "fax_number": "916-333-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNA",
        "first_name": "VASANTHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A119222",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A11222",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OH",
            "license": "35.086738",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A119222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VASANTHI",
            "last_name": "KRISHNA",
            "prefix": "DR.",
            "credential": "M.D.,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.