Individual provider · Type 1 NPI

Tara Krishnasastry, P.A.

Physician Assistant · Laguna Hills, CA

NPI number 1639313745 Active

Practice location

24411 Health Center Dr Ste 680
Laguna Hills, CA 92653-3692

Fax (954) 337-0760

Mailing address

11220 72nd Dr Apt C02
Forest Hills, NY 11375-5649

Other practice locations

  • 259 1st St, Mineola, NY 11501-3957 · (516) 663-0333
  • 24 Hospital Ave, Danbury, CT 06810-6077 · (203) 739-7000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2944 (NH)
Physician Assistant 363A00000XPA64005 (CA)
Physician Assistant Primary 363A00000X013169 (NY)
Physician Assistant 363A00000X5352 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

6 other providers at this address

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About NPI 1639313745

Tara Krishnasastry, P.A.'s National Provider Identifier is 1639313745, issued on Apr 21, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Laguna Hills, CA. The record was last updated on Mar 25, 2025.