Destrehan Medical Clinic
NPI 1790876019 · Primary Care Clinic/Center · Destrehan, LA
Destrehan Medical Clinic is a Primary Care Clinic/Center organization in Destrehan, LA (NPI 1790876019).
Provider details
- NPI number
- 1790876019
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chemmale Jayakrishnan, President/Doctor(985) 785-2045
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2022-07-21
Frequently asked questions
- What is Destrehan Medical Clinic's NPI number?
- Destrehan Medical Clinic's National Provider Identifier (NPI) is 1790876019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Destrehan Medical Clinic?
- Destrehan Medical Clinic is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Destrehan Medical Clinic located?
- Destrehan Medical Clinic's practice location on file with NPPES is 12604 River Rd, Destrehan, LA 70047-5306.
- What is Destrehan Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Destrehan Medical Clinic is (985) 764-0439.
- Who is the authorized official for Destrehan Medical Clinic?
- The authorized official listed on Destrehan Medical Clinic's NPPES record is Chemmale Jayakrishnan, President/Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Destrehan Medical Clinic's NPI active?
- Yes — Destrehan Medical Clinic's NPI (1790876019) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.