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KISHORE K VASANT MEDICAL GROUP INC.
NPI 1518993484
Clinic/Center in Wildomar, CA

Active since June 23, 2006
36450 INLAND VALLEY DR, SUITE # 116, WILDOMAR, CA 92595(951) 698-8876(951) 698-5560 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kishore K Vasant Medical Group Inc. NPPES

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

KISHORE K VASANT MEDICAL GROUP INC. (NPI 1518993484) is a healthcare organization registered as a clinic/center in Wildomar, California and active in the NPI registry since June 2006. The organization lists Kishore K Vasant, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518993484
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKISHORE K VASANT MEDICAL GROUP INC.
Location Address36450 INLAND VALLEY DR, SUITE # 116Wildomar, CA 92595-9583
Mailing Address36450 Inland Valley Dr, Suite # 116Wildomar, CA 92595-9583 · (951) 698-8876 · Fax (951) 698-5560
Phone(951) 698-8876
Fax(951) 698-5560
Organization SubpartNo
Authorized OfficialKishore K VasantCeo · (951) 698-8876
Enumeration DateJune 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1518993484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · A33638
Definition
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).
36450 INLAND VALLEY DR, Wildomar, CA 92595
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Other Identifiers 1

Medicaid00A336380CA

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.

SARAH DEVINE-COOTER FNP
Nurse Practitioner (Family)
36450 INLAND VALLEY DR
WILDOMAR, CA 92595
Riverside County (866) 984-7483
DR. JAMES KABELLIS II MD
Family Medicine (Adult Medicine)
36450 INLAND VALLEY DR
WILDOMAR, CA 92595
Riverside County (833) 574-2273
BASSAM AZZAM BS PHARMACY
Pharmacist
36450 INLAND VALLEY DR
WILDOMAR, CA 92595
Riverside County (951) 600-3322
KEVIN SURESH CHANDRASENA
Internal Medicine
36450 INLAND VALLEY DR
WILDOMAR, CA 92595
Riverside County (866) 984-7483
DR. NOEL NEPOMUCENO JR. M.D.
Family Medicine (Sports Medicine)
36450 INLAND VALLEY DR, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
WILDOMAR, CA 92595
Riverside County (951) 600-3476
BRUCE A. HAYTON, M.D., INC.
Specialist
36450 INLAND VALLEY DR, SUITE 101
WILDOMAR, CA 92595
Riverside County (951) 698-7514
YALDA LYNN HOWARD PHARMD
Pharmacist
36450 INLAND VALLEY DR
WILDOMAR, CA 92595
Riverside County (951) 600-3322
DR. JEE-HYON PARK M.D.
Internal Medicine
36450 INLAND VALLEY DR
WILDOMAR, CA 92595
Riverside County (866) 206-2983

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 Kishore K Vasant Medical Group Inc.'s NPI number?

The NPI number for Kishore K Vasant Medical Group Inc. is 1518993484. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is Kishore K Vasant Medical Group Inc. located?

Kishore K Vasant Medical Group Inc. is located at 36450 Inland Valley Dr Suite # 116, Wildomar, CA 92595. The listed phone number is (951) 698-8876.

What is Kishore K Vasant Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kishore K Vasant Medical Group Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.