DIVYA KRISHNAMOORTHY (NPI# 1194742825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194742825 |
| Entity Type | Individual |
| Full Name | DIVYA KRISHNAMOORTHY |
| Credential | MD |
| Practice Address |
762 Cypress St San Dimas CA 91773-3505 |
| Mailing Address |
4690 Calle Mar De Armonia San Diego CA 92130-2689 |
| Practice Telephone | 9095991227 |
| Practice Fax Number | 2062999789 |
| Mailing Telephone | 2069650030 |
| Mailing Fax Number | 2062999789 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
43907 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD48723 | WA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C54901 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
762 CYPRESS ST |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911057 | Quashana Barber | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-10-28 |
| 1841898715 | William Castillo | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-10-13 |
| 1881291235 | Jordan Derbis | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-10-07 |
| 1851998215 | Berenice Esquivel | Registered Nurse | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-10-07 |
| 1821605098 | Jennifer Vidal | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-30 |
| 1255948899 | Gloria Rojas | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-28 |
| 1710594361 | Dori Sayad | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-28 |
| 1639786205 | Danielle Prioleau | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-28 |
| 1841806783 | Elizabeth Kabahuma | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-16 |
| 1417562638 | Yuelin Kang | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114249240 | Joshua Kritsada Koh A Professional Psychiatric Corporation | Psychiatry & Neurology | 1173 N Dixie Dr, Suite 101, San Dimas, CA 91773-1200 | 2010-02-16 |
| 1871609271 | Joshua Kritsada Koh | Psychiatry & Neurology | 1173 N Dixie Dr, Suite 101, San Dimas, CA 91773-1200 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
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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.