DR. KISHORE K VASANT I (NPI# 1790711661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790711661 |
| Entity Type | Individual |
| Full Name | DR. KISHORE K VASANT I |
| Credential | M.D. |
| Practice Address |
25102 Jefferson Ave Suite # C Murrieta CA 92562-1707 |
| Practice Telephone | 9516988876 |
| Practice Fax Number | 9516985560 |
| Mailing Telephone | 9516988876 |
| Mailing Fax Number | 9516985560 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2012-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | A33638 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A33638 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A336382 | 05 |
| Street Address |
25102 JEFFERSON AVE SUITE # C |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861482531 | Laura Ann Williams | Family Medicine | 25102 Jefferson Ave, Suite A, Murrieta, CA 92562-1707 | 2005-10-25 |
| 1548878564 | Alyssa Reann Warren | Specialist/Technologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2020-07-15 |
| 1275174336 | Jessica Wakelin | Speech-Language Pathologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2019-09-30 |
| 1225684962 | Iman Farag | Speech-Language Pathologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2019-08-16 |
| 1679031132 | Jocelyn Reyes | Specialist/Technologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2019-03-04 |
| 1962998138 | Kinnedy Macias | Specialist/Technologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2018-07-10 |
| 1568904803 | Chloe Hill | Speech-Language Pathologist | 25102 Jefferson Ave, Suite D, Murrieta, CA 92562-1707 | 2016-11-16 |
| 1841732856 | Krista Wilson | Speech-Language Pathologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2016-11-08 |
| 1053764712 | Rachel Anne Smart | Speech-Language Pathologist | 25102 Jefferson Ave, Suite D, Murrieta, CA 92562-1707 | 2016-07-18 |
| 1669832259 | Krystal Fore | Specialist/Technologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2016-02-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871757914 | Heather Jill Pleskow | Allergy & Immunology | 39765 Date St # 102, Murrieta, CA 92563-2005 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558341 | Los Angeles Food Allergy Institute, Inc. | Allergy & Immunology | 800 S Central Ave Ste 303, Glendale, CA 91204-4388 | 2020-04-29 |
| 1518587815 | Aire Medical of Glendale, Inc. | Allergy & Immunology | 1808 Verdugo Blvd Ste 116, Glendale, CA 91208-1455 | 2020-04-16 |
| 1598315467 | Dean T. Chiang, M.d. Inc | Allergy & Immunology | 3440 Lomita Blvd Ste 228, Torrance, CA 90505-4870 | 2019-09-12 |
| 1316416118 | Pediatric Specialty Partners Inc. | Allergy & Immunology | 8929 University Center Ln Ste 208, San Diego, CA 92122-1054 | 2018-11-21 |
| 1083133649 | Allergy Asthma Clinic Burlingame, Incorporated | Allergy & Immunology | 1828 El Camino Real Ste 703, Burlingame, CA 94010-3122 | 2017-09-14 |
| 1609397421 | Utkucan Acar | Allergy & Immunology | 10833 Le Conte Ave Rm 12-311, Los Angeles, CA 90095-3075 | 2017-06-30 |
| 1992247134 | Macey Dennis | Allergy & Immunology | 549 Southgate Rd, Sacramento, CA 95815-3714 | 2016-11-04 |
| 1093166795 | Terrie Susie Ahn | Allergy & Immunology | 10833 Le Conte Ave # 12-311, Los Angeles, CA 90095-3075 | 2016-06-24 |
| 1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
| 1730559600 | Benjamin Kramer | Allergy & Immunology | 750 Van Ness Ave, Ph1, San Francisco, CA 94102-6321 | 2015-10-04 |
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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.