SANJIVAN SINGH KOHLI (NPI# 1801129663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801129663 |
| Entity Type | Individual |
| Full Name | SANJIVAN SINGH KOHLI |
| Credential | MD |
| Practice Address |
30230 Rancho Viejo Rd Suite 200 San Juan Capistrano CA 92675-1557 |
| Mailing Address |
Po Box 7087 Orange CA 92863-7087 |
| Practice Telephone | 9494434303 |
| Practice Fax Number | 9494434033 |
| Mailing Telephone | 7145715000 |
| Mailing Fax Number | 7145715055 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2014-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A109968 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
30230 RANCHO VIEJO RD SUITE 200 |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982655304 | Patricia Ann Ahearn | Specialist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-05-12 |
| 1033501077 | Pacific Private Practice Network Inc | Family Medicine | 30230 Rancho Viejo Rd, Suite 110, San Juan Capistrano, CA 92675-1557 | 2015-02-27 |
| 1679816680 | Karen Jean Caruso | Nurse Practitioner | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2013-03-28 |
| 1124250022 | Prajan Subedi | Internal Medicine | 30230 Rancho Viejo Rd, 200, San Juan Capistrano, CA 92675-1557 | 2009-08-12 |
| 1871785220 | Bryan O King | Internal Medicine | 30230 Rancho Viejo Rd, Ste 200, San Juan Capistrano, CA 92675-1557 | 2007-08-09 |
| 1306910906 | Beverly R Hendrickson | Pediatrics | 30230 Rancho Viejo Rd, Suite A, San Juan Capistrano, CA 92675 | 2006-11-17 |
| 1447330915 | Rahul Madhav Kale | Internal Medicine | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-10-17 |
| 1457431504 | William Gustin | Hospitalist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-10-16 |
| 1346331725 | Paloma Medical Group Inc | Specialist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-09-28 |
| 1417902149 | William Weiming Chang | Specialist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184268088 | Dana Caballero | Social Worker | 30240 Racho Viejo Rd, Suite C-1, San Juan Capistrano, CA 92675 | 2019-11-04 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1487132551 | Alex James Vanderschelden | Chiropractor | 36461 Rancho Viejo Rd. Suiete 103, Suite 103, San Juan Capistrano, CA 92675 | 2018-08-01 |
| 1295224780 | Gateway Healthcare, Inc. | Skilled Nursing Facility | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 | 2018-05-09 |
| 1033606991 | Pelican Point Dental | Dentist | 31103 Rancho Viejo Road Ste D2444, San Juan Capistrano, CA 92675 | 2018-04-17 |
| 1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
| 1679091441 | D Dawn Maxwell | Counselor | 30950 Rancho Viejo Rd Suite 225, San Juan Capistrano, CA 92675 | 2017-08-31 |
| 1417491523 | Terry D'amico | Physical Therapy Assistant | 32961 Calle Miguel, San Juan Capistrano, CA 92675 | 2016-12-08 |
| 1235580556 | Marriage Made Better Relationship Counseling | Community/Behavioral Health | 30200 Rancho Viejo Road, Suite D, San Juan Capistrano, CA 92675 | 2016-06-28 |
| 1679923288 | Shanti Recovery Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 31211 Casa Grande Drive, San Juan Capistrano, CA 92675 | 2016-06-14 |
| Find all providers in zip 92675 | ||||
| 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 |
|---|---|---|---|---|
| 1053873075 | Apex Health Inc. | Internal Medicine | 31473 Rancho Viejo Rd Ste 103, San Juan Capistrano, CA 92675-1894 | 2019-04-01 |
| 1003140922 | Kaveh N Rezvan | Internal Medicine | 30230 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675-1585 | 2009-09-24 |
| 1073501565 | Brian B Lo | Internal Medicine | 30320 Rancho Viejo Rd Ste 102, San Juan Capistrano, CA 92675-1582 | 2005-10-10 |
| 1144221839 | Jesus M Valadez | Internal Medicine | 31001 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675 | 2005-08-03 |
| 1336679323 | Deepa V Oza | Internal Medicine | 30230 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675-1585 | 2017-06-13 |
| 1104362268 | Wali Abawi | Internal Medicine | 30230 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675-1585 | 2017-01-13 |
| 1427355122 | Memorialcare Medical Foundation | Internal Medicine | 30300 Rancho Viejo Rd, San Juan Capistrano, CA 92675-1576 | 2011-02-16 |
| 1124250022 | Prajan Subedi | Internal Medicine | 30230 Rancho Viejo Rd, 200, San Juan Capistrano, CA 92675-1557 | 2009-08-12 |
| 1770616716 | Audrey Kate Rocco-welch | Internal Medicine | 30300 Camino Capistrano, San Juan Capistrano, CA 92675-1304 | 2007-03-13 |
| 1861537656 | Thuytrang Diep Nguyen | Internal Medicine | 30300 Camino Capistrano, San Juan Capistrano, CA 92675-1304 | 2007-02-20 |
| Find all providers in SAN JUAN CAPISTRANO | ||||
| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
Please comment or provide details below to improve the information on SANJIVAN SINGH KOHLI.
| 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.