KRISHNAMOORTHI MD INC A PROFESSIONAL MEDICAL CORPORATION
NPI 1316098205
Clinic/Center - Rural Health in Waterford, CA

Active since January 16, 2007CLIA 05D0611209 · Waiver
324 F ST, WATERFORD, CA 95386(209) 874-2321(209) 874-3896 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krishnamoorthi Md Inc A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISHNAMOORTHI MD INC A PROFESSIONAL MEDICAL CORPORATION (NPI 1316098205) is a healthcare organization registered as a rural health in Waterford, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Krishnamoorthi Krishnamoorthi, Doctor, as its authorized official.

NPPES Registry Identity

NPI1316098205
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameKRISHNAMOORTHI MD INC A PROFESSIONAL MEDICAL CORPORATION
Location Address324 F STWaterford, CA 95386-9013
Mailing Address324 F StWaterford, CA 95386-9013 · (209) 609-6629 · Fax (209) 874-3896
Fax(209) 874-3896
Organization SubpartNo
Authorized OfficialKrishnamoorthi KrishnamoorthiDoctor · (209) 874-2321
Enumeration DateJanuary 16, 2007
Last NPPES UpdateFebruary 6, 2026
NPPES CertifiedFebruary 6, 2026
NPI 1316098205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
324 F ST, Waterford, CA 95386

Other Identifiers 2

Medicaid00A708970CA
MedicaidRHM53829HCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0611209

Krishnamoorthi, MD Inc · Waterford, CA
Active · expires Dec 16, 2026
CLIA Number05D0611209
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorK Krishnamoorthi MD
Laboratory Phone(209) 874-2321
Laboratory LocationKrishnamoorthi, MD Inc324 F Street, Waterford, CA 95386
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
324 F ST
WATERFORD, CA 95386

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krishnamoorthi MD Inc A Professional Medical Corporation's NPI number?

The NPI number for Krishnamoorthi MD Inc A Professional Medical Corporation is 1316098205. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Krishnamoorthi MD Inc A Professional Medical Corporation located?

Krishnamoorthi MD Inc A Professional Medical Corporation is located at 324 F St, Waterford, CA 95386. The listed phone number is (209) 874-2321.

What is Krishnamoorthi MD Inc A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Krishnamoorthi MD Inc A Professional Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0611209) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Krishnamoorthi MD Inc A Professional Medical Corporation was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.