Mohan Dialysis Center of Covina, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

MOHAN DIALYSIS CENTER OF COVINA, INC.

Practice address

158 W College St
Covina, CA 91723-2007

Phone

(626) 859-2522

Fax

(626) 331-0205

NPI assigned

Aug 10, 2006

Organization subpart

No

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/Medical Director

Phone

(626) 859-2522

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mohan Dialysis Center of Covina, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glendora, CA
  • NPI 1285895896

  5193636546

  Same PAC ID
• Mohan Dialysis Center of Covina, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • City of Industry, CA
  • NPI 1558522151

  5193636546

  Same PAC ID

Listed as

Mohan Dialysis Center of CovinaCCN 052726

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Aug 10, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

18

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mohan Dialysis Center of Covina Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mohan Dialysis Center of Covina, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glendora, CA
  • NPI 1285895896
  NPD tax ID
• Mohan Dialysis Center of Covina, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • City of Industry, CA
  • NPI 1558522151
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mohan Dialysis Center of Covina, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glendora, CA
  • NPI 1285895896
  NPPES parent name
• Mohan Dialysis Center of Covina, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • City of Industry, CA
  • NPI 1558522151
  NPPES parent name

Practitioners 1

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
  NPD (past) Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Krishna Jatavallabhula Mohan, MD

  • Nephrology Physician
  • Covina, CA
  • NPI 1477645786

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1841201738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232007",
            "telephone_number": "626-859-2522",
            "fax_number": "626-331-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232007",
            "telephone_number": "626-859-2522",
            "fax_number": "626-331-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN DIALYSIS CENTER OF COVINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-859-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "052726",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "052854",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "552538",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02726F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Mogollon
• Rosa Mogrovejo
• Mohamed Z Kattih Inc
• Abdirashid Abdulkadir Mohamed
• Mohan CKD Clinic
• Krishna Jatavallabhula Mohan, MD
• Thomas David Mohr, D.M.D
• Atifa P Mohsen
• Mia Leilani Mojardin
• Ngoe Mokube

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Covina, CA
• Providers in Covina, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.