Kiran U Koka, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A46218 Issued in CA

Practice address

2740 Grant St
Suite # 255
Concord, CA 94520-2265

Phone

(925) 674-4191

Fax

(925) 686-0247

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kkoka18393@ehr.johnmuirhealth.com

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.

• Kiran U. Koka, M.D. - a Professional Corp

  • Child & Adolescent Psychiatry Physician
  • Walnut Creek, CA
  • NPI 1679598338
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952411274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 BALMORAL WAY",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825376",
            "telephone_number": "925-674-4191",
            "fax_number": "925-685-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 GRANT ST",
            "address_2": "SUITE # 255",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202265",
            "telephone_number": "925-674-4191",
            "fax_number": "925-686-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKA",
        "first_name": "KIRAN",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A46218",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A46218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN AND SURGEON",
            "identifier": "A46218",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aiko Gabriela Cuello Kohara
• Jaclyn Kohleriter
• Kristin Anne-Marie Kohs, CMT, HE
• Bryan Kojima
• Ching Ying Kok
• Peter Endre Komor, DDS
• Sheryl Kona
• Magnan Kone
• Brandon Jason Kong
• Ryan Jaden Kong

• Child & Adolescent Psychiatry Physician in Concord, CA
• Providers in Concord, CA by specialty
• Child & Adolescent Psychiatry 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.