MOHAN DIALYSIS CENTER OF COVINA, INC. (NPI# 1841201738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841201738 |
| Entity Type | Organization |
| Organization Name | MOHAN DIALYSIS CENTER OF COVINA, INC. |
| Practice Address |
158 W College St Covina CA 91723-2007 |
| Practice Telephone | 6268592522 |
| Practice Fax Number | 6263310205 |
| Mailing Telephone | 6268592522 |
| Mailing Fax Number | 6263310205 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | DR. KRISHNA J MOHAN (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6268592522 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 052854 | CA | Ambulatory Health Care Facilities |
| N | 261Q00000X | Clinic/Center | 552538 | CA | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | 052726 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDC02726F | 05 |
| Street Address |
158 W COLLEGE ST |
| City | COVINA |
| State | CA |
| Zip Code | 91723-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649610049 | Ann Mo | Dietitian, Registered | 158 W College St, Covina, CA 91723-2007 | 2013-06-28 |
| 1477645786 | Krishna Jatavallabhula Mohan | Internal Medicine | 158 W College St, Covina, CA 91723 | 2006-09-28 |
| 1639261951 | Sheri Aihuong Pham | Internal Medicine | 158 W College St, Covina, CA 91723 | 2006-09-28 |
| 1982796207 | Farhad Rezvani | Internal Medicine | 158 W College St, Covina, CA 91723 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235395427 | Covina Surgery Center, LLC | Clinic/Center | 246 W College St Ste 200, Covina, CA 91723-1910 | 2008-08-06 |
| 1518589266 | County of Los Angeles | Clinic/Center | 1359 N Grand Ave, Covina, CA 91724-1016 | 2020-05-15 |
| 1235663758 | County of Los Angeles - Auditor Controller | Clinic/Center | 1359 N Grand Ave, Covina, CA 91724-1016 | 2017-04-12 |
| 1326457540 | Julio A Montano, M.d.,inc. | Clinic/Center | 234 E Badillo St, Covina, CA 91723-2115 | 2014-08-13 |
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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.