NPIMap

Individual provider Active NPI

Krunal Jayantkumar Mehta, M.D.

  • Family Medicine Physician
  • Glendora, CA
National Provider Identifier
1982867602
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A110016 Issued in CA
Practice address
625 E. Arrow Hwy Ste 6
Glendora, CA 91740
Phone
(626) 335-4129
Fax
(626) 610-4700
NPI assigned
Jul 2, 2008
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A110016 CA Primary

Addresses

Primary practice location

625 E. Arrow Hwy Ste 6
Glendora, CA 91740

Mailing address

625 E. Arrow Hwy Ste 6
Glendora, CA 91740
Phone (626) 335-4129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810001009 CA Practitioner - Family Practice 2668506825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

625 E Arrow Hwy
Suite 6
Glendora, CA 91740-6090
Phone (626) 335-4129

625 E Arrow Hwy 6
Glendora, CA 91740-6090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110016CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Krunal J Mehta MD Inc Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Krunal J Mehta MD Inc Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

130 W Route 66
Ste 214
Glendora, CA 91740
Phone (626) 335-4129

625 E Arrow Hwy
Ste 6
Glendora, CA 91740
Phone (626) 335-4129

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Covina Healthcare CenterWest Covina, CA, CCN 055992 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 9, 2013
Sep 9, 2013
Arbor Glen Care CenterGlendora, CA, CCN 056360 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Nov 1, 2020
Nov 1, 2020
Nov 1, 2020
Glendora Canyon Transitional Care UnitGlendora, CA, CCN 555416 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 30, 2021
Aug 30, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1982867602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E. ARROW HWY STE 6",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "626-335-4129",
            "fax_number": "626-610-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E. ARROW HWY STE 6",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "626-335-4129",
            "fax_number": "626-610-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "KRUNAL",
        "middle_name": "JAYANTKUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A110016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.