Dr. Krishan Kumar Vashistha, MD

Pediatrics in Canyon Country, CA. Individual provider (NPI-1).

NPI number1629062005

StatusActive

Last updated in NPPESDec 12, 2012

Details

NPI: 1629062005
Entity type: Individual (NPI-1)
Name: Dr. Krishan Kumar Vashistha
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: Aug 31, 2005
Last updated: Dec 12, 2012

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
208000000X	Pediatrics	A31642	CA	Yes
2080P0208X	Pediatrics, Pediatric Infectious Diseases	A31642	CA

Practice location

27141 Hidaway Ave
Ste 105
Canyon Country, CA 91351-4131

Phone 661-251-4783 · Fax 661-251-8245

Mailing address

27141 Hidaway Ave
Ste 105
Canyon Country, CA 91351-4131

Phone 661-251-4783 · Fax 661-251-8245

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatrics Physician providers in Canyon Country, CA

All 10 Pediatrics Physician providers in Canyon Country · All 386 providers in Canyon Country

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