Krishan S Krishna, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A25344 Issued in CA

Practice address

3356 W Ball Rd
Suite 210
Anaheim, CA 92804

Phone

(714) 826-0910

Fax

(714) 826-5711

NPI assigned

Aug 16, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Grand Enterprise Inc.

  • Adult Care Home Facility
  • Riverside, CA
  • NPI 1538307400
  NPD (past)
• Hacienda Village

  • Adult Mental Health Clinic/Center
  • Riverside, CA
  • NPI 1255579215
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922111731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 W BALL RD",
            "address_2": "SUITE 210",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-826-0910",
            "fax_number": "714-826-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 W BALL RD",
            "address_2": "SUITE 210",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-826-0910",
            "fax_number": "714-826-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNA",
        "first_name": "KRISHAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A25344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A253440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenna Renae Kress
• Cory Anne Kretz, PPSC
• Isabelle Kreydin
• Allison J Kringen
• Krishna Pharmacy Inc. (Medcare Pharmacy)
• Lydia Kropidlowski, PMHNP
• Patrick Ikaika Kruger
• David William Kruse, MD
• Ku Natural Medicine Clinic, Inc.
• Xuan Kuang

• Cardiovascular Disease Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.