Organization Active NPI

Doddanna Krishna M D a Professional Corporation

  • Pulmonary Disease Physician
  • Lancaster, CA
National Provider Identifier
1902997661
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A43598 Issued in CA
Legal business name
DODDANNA KRISHNA M D A PROFESSIONAL CORPORATION
Practice address
44215 15TH Street West
Suite 211
Lancaster, CA 93534
Phone
(661) 726-6600
Fax
(661) 726-6603
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Doddanna Krishna, M D
Title
President/Owner
Phone
(661) 726-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X A43598 CA Primary

Addresses

Primary practice location

44215 15TH Street West
Suite 211
Lancaster, CA 93534

Mailing address

44215 15TH Street West
Suite 211
Lancaster, CA 93534
Phone (661) 726-6600

Other identifiers 2

IdentifierTypeStateIssuer
GR0089590MedicaidCA
W14894OtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1902997661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44215 15TH STREET WEST",
            "address_2": "SUITE 211",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-726-6600",
            "fax_number": "661-726-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44215 15TH STREET WEST",
            "address_2": "SUITE 211",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-726-6600",
            "fax_number": "661-726-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODDANNA KRISHNA M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "KRISHNA",
        "authorized_official_first_name": "DODDANNA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "661-726-6600",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A43598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089590",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W14894",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.