Individual provider Active NPI

Eshani Niranya Karu, MD

  • General Practice Physician
  • Pomona, CA
National Provider Identifier
1982177622
Registry record updated Jan 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A160038 Issued in CA
Practice address
1900 Royalty Dr Ste 250
Pomona, CA 91767-3043
Phone
(909) 623-6581
NPI assigned
Jan 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A160038 CA Primary

Addresses

Primary practice location

1900 Royalty Dr Ste 250
Pomona, CA 91767-3043

Mailing address

3608 Leicester CT
Claremont, CA 91711-1445
Phone (909) 621-1005

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220826001181 CA Practitioner - General Practice 1759765696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A160038CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Randy Karu, M.D., Inc. CurrentSince May 14, 2022 Accepting new patients

Locations

1900 Royalty Dr
Ste 250
Pomona, CA 91767
Phone (909) 623-6581

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1982177622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 LEICESTER CT",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111445",
            "telephone_number": "909-621-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR STE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673043",
            "telephone_number": "909-623-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARU",
        "first_name": "ESHANI",
        "middle_name": "NIRANYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A160038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.