Kiran Mahl-Sansone M.D., INC.

Specialist in Vista, CA. Organization (NPI-2).

NPI number1104861897

StatusActive

Last updated in NPPESSep 18, 2017

Details

NPI: 1104861897
Entity type: Organization (NPI-2)
Legal business name: Kiran Mahl-Sansone M.D., INC.
Organization subpart: No
Enumeration date: Jun 18, 2006
Last updated: Sep 18, 2017

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
174400000X	Specialist	g77576	CA	Yes

Practice location

2067 W Vista Way
Suite 200
Vista, CA 92083-6031

Phone 760-726-2180 · Fax 760-726-9928

Mailing address

2067 W Vista Way
Suite 200
Vista, CA 92083-6031

Phone 760-726-2180 · Fax 760-726-9928

Authorized official

Andrea Scott
Billing Specialist
7607262180

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Other Specialist providers in Vista, CA

All 26 Specialist providers in Vista · All 2,587 providers in Vista

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