KEVIN SURESH CHANDRASENA (NPI# 1144614447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144614447 |
| Entity Type | Individual |
| Full Name | KEVIN SURESH CHANDRASENA |
| Practice Address |
36450 Inland Valley Dr Wildomar CA 92595 |
| Mailing Address |
36450 Inland Valley Dr Wildomar CA 92595-9583 |
| Practice Telephone | 8669847483 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2018-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 20A16199 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 125066341 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
36450 INLAND VALLEY DR |
| City | WILDOMAR |
| State | CA |
| Zip Code | 92595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518993484 | Kishore K Vasant Medical Group Inc. | Clinic/Center | 36450 Inland Valley Dr, Suite # 116, Wildomar, CA 92595-9583 | 2006-06-23 |
| 1568901833 | Pamela Warmington | Pharmacist | 36450 Inland Valley Dr, Suite 209, Wildomar, CA 92595-9583 | 2017-02-19 |
| 1407395866 | Jeffrey Labandelo Fajardo | Pharmacist | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2017-02-18 |
| 1114466653 | Bassam Azzam | Pharmacist | 36450 Inland Valley Dr, Wildomar, CA 92595 | 2017-02-16 |
| 1386182285 | Dante Gibson | Pharmacist | 36450 Inland Valley Dr, Suite #209, Wildomar, CA 92595-9583 | 2017-02-10 |
| 1912445818 | David Chen | Pharmacist | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2017-02-10 |
| 1245614502 | Yalda Lynn Howard | Pharmacist | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2015-07-16 |
| 1023406675 | Sarah Devine-cooter | Registered Nurse | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2015-01-06 |
| 1841617875 | Frank Joseph Mercardante Jr. | Pediatrics | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2014-03-27 |
| 1205193521 | Noel Nepomuceno Jr. | Family Medicine | 36450 Inland Valley Dr, Southern California Permanente Medical Group, Wildomar, CA 92595-9583 | 2012-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
| 1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
| 1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
| 1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
| Find all providers in zip 92595 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1972899839 | Pranav Rajendra Barve | Internal Medicine | 36243 Inland Valley Dr Ste 160, Wildomar, CA 92595-9548 | 2011-06-20 |
| 1083637755 | Kim Marie Thomas | Internal Medicine | 32395 Clinton Keith Rd, Suite 104, Wildomar, CA 92595-7568 | 2006-07-25 |
| 1023054269 | Purnima K Patel | Internal Medicine | 36243 Inland Valley Drive, Suite 160, Wildomar, CA 92595-9548 | 2006-06-22 |
| 1861911380 | H Kolli Md Medical Corporation | Internal Medicine | 36243 Inland Valley Dr Ste 160, Wildomar, CA 92595-9548 | 2017-09-15 |
| 1154797462 | Elvis Chernyshov | Internal Medicine | 36243 Inland Valley Dr Ste 160, Wildomar, CA 92595-9548 | 2015-08-20 |
| 1861836207 | Trang Nguyen | Internal Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2013-04-27 |
| 1508131764 | Galen Inpatient Physicians Inc | Internal Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2012-03-20 |
| Find all providers in WILDOMAR | ||||
Please comment or provide details below to improve the information on KEVIN SURESH CHANDRASENA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.