KRISHNAMOORTHI M. D. INC., A PROFESSIONAL MEDICAL CORPORATION (NPI# 1285785154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285785154 |
| Entity Type | Organization |
| Organization Name | KRISHNAMOORTHI M. D. INC., A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
850 California St Escalon CA 95320-1506 |
| Practice Telephone | 2098382278 |
| Mailing Telephone | 2098382278 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | DR. SOMA KRISHNAMOORTHI (CFO) |
| Authorized Official Telephone | 2098382278 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM53830H | 05 |
| Street Address |
850 CALIFORNIA ST |
| City | ESCALON |
| State | CA |
| Zip Code | 95320-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742369 | Markee Cuevas | Health Educator | 19951 East Highway 120, Escalon, CA 95320 | 2015-10-08 |
| 1144699208 | Cathryn Rae Duncan | Pharmacist | 1900 Mchenry Ave., #202, Escalon, CA 95320 | 2015-09-18 |
| 1699166181 | Jessica Lee | Student in an Organized Health Care Education/Training Program | 1438 Ribier Dr., Escalon, CA 95320 | 2015-02-05 |
| 1023381647 | Kandie Rago | Pharmacist | 537 Chenin Blanc Ave, Escalon, CA 95320 | 2012-02-13 |
| 1699973768 | Rachelle Vander Dussen | Registered Nurse | 19467 Sexton Rd, Escalon, CA 95320 | 2007-07-10 |
| 1831252618 | Gary Michael Verigin | Dentist | 1415 Oklahoma Ave, Escalon, CA 95320 | 2006-12-19 |
| 1467550434 | John Phillip Tacheff | Dentist | 1302 Mitchell Ave, Escalon, CA 95320 | 2006-09-21 |
| 1013011055 | Soma Krishnamoorthi | Internal Medicine | 850 W California Street, Escalon, CA 95320-1506 | 2006-09-11 |
| 1235262817 | Michelle Coble | Social Worker | 1812 Sanchez Way, Escalon, CA 95320-1535 | 2007-03-13 |
| 1164983540 | Mary Jossa Grace Rufino | Behavioral Analyst | 1140 La Mesa St, Escalon, CA 95320-1682 | 2019-03-27 |
| Find all providers in zip 95320 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770624553 | Oak Valley Hospital District | Clinic/Center | 2080 Mchenry Ave # 100, Escalon, CA 95320-9484 | 2007-02-12 |
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| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
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| 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.