KRISHNAMOORTHI MD INC A PROFESSIONAL MEDICAL CORPORATION
NPI 1528119435
Clinic/Center - Primary Care in Modesto, CA

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since January 16, 2007CLIA 05D0989666 · Waiver

2222 E ORANGEBURG AVE STE A2, MODESTO, CA 95355(209) 622-0877(209) 622-0956 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1528119435) is a healthcare organization registered as a primary care in Modesto, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Krishnamoorthi Krishnamoorthi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528119435

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameKRISHNAMOORTHI MD INC A PROFESSIONAL MEDICAL CORPORATION

Location Address2222 E ORANGEBURG AVE STE A2Modesto, CA 95355-3399

Mailing Address2222 E Orangeburg Ave Ste A2Modesto, CA 95355-3399 · (209) 622-0877 · Fax (209) 622-0956

Phone(209) 622-0877

Fax(209) 622-0956

Organization SubpartNo

Authorized OfficialKrishnamoorthi KrishnamoorthiCeo · (209) 622-0877

Enumeration DateJanuary 16, 2007

Last NPPES UpdateFebruary 9, 2026

NPPES CertifiedFebruary 9, 2026

✔ NPI 1528119435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

2222 E ORANGEBURG AVE STE A2, Modesto, CA 95355

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Other Identifiers 2

MedicaidGR0104660CA

OtherPA20513CA · Co676z

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 05D0989666

Krishnamoorthi, MD, Inc · Modesto, CA

Active · expires Jul 31, 2027

CLIA Number05D0989666

Laboratory TypePhysician Office

Certificate Effective DateAugust 1, 2025

Certificate Expiration DateJuly 31, 2027

Laboratory DirectorSoma Krishnamoorthi

Laboratory Phone(209) 525-3121

Laboratory LocationKrishnamoorthi, MD, Inc2222 E Orangeburg Ave Ste A2, Modesto, CA 95355

CLIA data matches this NPI record on: Address Name

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.

LEENA CHAUDHURY M.D.

General Practice

2222 E ORANGEBURG AVE STE A2
MODESTO, CA 95355

Stanislaus County (209) 622-0877

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 1528119435. 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 2222 E Orangeburg Ave Ste A2, Modesto, CA 95355. The listed phone number is (209) 622-0877.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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

Yes. A Certificate of Waiver (number 05D0989666) is associated with this NPI, valid through July 31, 2027. 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 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.