Active NPI
Vasanthi Krishna, M.D.
- Clinical Neurophysiology Physician
- Sacramento, CA
National Provider Identifier
1790741734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- A119222
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120210000299 | CA | Practitioner - Neurology | 3072523711 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A11222 | CA | MD | Neurology Physician |
| A119222 | CA | MD | Clinical Neurophysiology Physician |
| 35.086738 | OH | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vasanthi Krishna MD PC | Clinical Neurophysiology | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.