DR. MIGUEL KRISHNAN DO
NPI 1407958390
Otolaryngology - Pediatric Otolaryngology in Loma Linda, CA

Q: What is Miguel Krishnan's NPI number?

The NPI number for Miguel Krishnan is 1407958390. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Q: What is Miguel Krishnan's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Q: When was this NPI record last updated?

The NPPES record for Miguel Krishnan was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment

11234 ANDERSON ST, SUITE 2592, LOMA LINDA, CA 92354(772) 618-9714(772) 618-9714 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Miguel Krishnan Do NPPES

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

DR. MIGUEL KRISHNAN DO (NPI 1407958390) is an individual pediatric otolaryngology provider in Loma Linda, California, licensed in California (20A8996) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio Medical University (1996).

NPPES Registry Identity

NPI1407958390

Entity TypeIndividualMale

Primary Taxonomy207YP0228X

Provider Legal NameDR. MIGUEL KRISHNANCredential: DO

Location Address11234 ANDERSON ST, SUITE 2592Loma Linda, CA 92354-2804

Mailing AddressPo Box 235Loma Linda, CA 92354-0235 · (772) 618-9714 · Fax (772) 618-9714

Phone(772) 618-9714

Fax(772) 618-9714

Sole ProprietorNo

Medical School CMSOhio Medical UniversityGraduated 1996

Enumeration DateSeptember 2, 2006

Last NPPES UpdateNovember 18, 2021

✔ NPI 1407958390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207YP0228X

License✔ Licensed in CA · 20A8996

Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

11234 ANDERSON ST, Loma Linda, CA 92354

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Other Identifiers 1

Medicaid00AX89960CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Miguel Krishnan Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163470220

PECOS Enrollment IDI20050105001135

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Miguel Krishnan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

9.8 mi

Health Maintenance Organization

9961 SIERRA AVE
Fontana, CA 92335

Reassigned Medicare billing, California enrollment
Also billed through NPI 1952333460 (California)
5,228 clinicians in this Medicare group

NPI 1689606196 (909) 427-3910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

ELYSE LAUREN GURAN

Anesthesiology

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4015

SAMUEL COOK CHAMBI

Anesthesiology

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4015

LUIS MIGUEL OLMEDO TEMICH MD

General Practice

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2822

HYUKJE SUNG MD, MA

Preventive Medicine (Occupational Medicine)

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-6491

JEFFERSON BRANCH RICHARDS

Student in an Organized Health Care Education/Training Program

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4074

JOSEPH UNIS M.D.

Radiology (Diagnostic Radiology)

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-8311

MARINA LIU M.D.

Anesthesiology

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4475

JOSEPH M WILKINSON CRNA

Nurse Anesthetist, Certified Registered

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4475

KURT DIETER CAO C.R.N.A.

Nurse Anesthetist, Certified Registered

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-8173

DR. FRANK RANDALL M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

11234 ANDERSON ST, HOUSE STAFF OFFICE CP21005
LOMA LINDA, CA 92354

San Bernardino County (818) 635-7623

VU NGUYEN M.D.

Anesthesiology

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4000

BLAIR H. RACKER D.D.S.

Student in an Organized Health Care Education/Training Program

11234 ANDERSON ST, LLU MEDICAL CENTER: ORAL AND MAXILLOFACIAL SURGERY
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4671

DR. MOOSA AZADIAN M.D.

Internal Medicine (Critical Care Medicine)

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4085

DR. SALLY YOU DO

Psychiatry & Neurology (Neurocritical Care)

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (714) 797-7740

ALICIA DELLEN CRNA, RN

Nurse Anesthetist, Certified Registered

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4000

EMELYN MAGTANONG

Student in an Organized Health Care Education/Training Program

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2822

JONATHAN BLEASE HILL MD

Student in an Organized Health Care Education/Training Program

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4196

KARI DIANE KENNEDY MD

Student in an Organized Health Care Education/Training Program

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2600

DR. JOSEPH DAVID HUTTON MD

Student in an Organized Health Care Education/Training Program

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-6444

ASHNA KHANNA DO

Pediatrics

11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4174

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 Miguel Krishnan's NPI number?

The NPI number for Miguel Krishnan is 1407958390. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Miguel Krishnan located?

Miguel Krishnan practices at 11234 Anderson St Suite 2592, Loma Linda, CA 92354. The listed phone number is (772) 618-9714.

What is Miguel Krishnan's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Miguel Krishnan enrolled in Medicare?

Yes. Miguel Krishnan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Miguel Krishnan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Krishnan reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miguel Krishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miguel Krishnan was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.