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St. Charles Medical Clinic

St. Charles Medical Clinic is a healthcare organization registered as Primary Care Clinic/Center in Luling, LA, holding Type 2 (organization) NPI 1407947708 since 2006. The authorized official on file is Chemmale Jayakrishnan, President/Doctor.

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NPI 1407947708
Entity type Organization (Type 2)
Legal business name St. Charles Medical Clinic
Practice address 1057 PAUL MAILLARD RD, SUITE 240, Luling, LA, 70070
Phone 9857852045
Enumeration date 2006-09-28
Last updated in NPPES 2022-07-21

Authorized official

Name Chemmale Jayakrishnan
Title President/Doctor
Phone 9857852045

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QP2300X Primary Care Clinic/Center Primary LA

Other identifiers

Identifier Type State Issuer
1792292 Medicaid LA
Copy-ready billing details
Provider: St. Charles Medical Clinic
NPI: 1407947708
Taxonomy: 261QP2300X (Primary Care Clinic/Center)
Address: 1057 PAUL MAILLARD RD, SUITE 240, Luling, LA, 70070

Providers at this address

NPI Name Type Specialty Location
1295716637 Hospital Service Dist. No. 1 of the Parish of St. Charles, State of La Organization General Acute Care Hospital Luling, LA
1063457885 Toni Bork Individual Certified Registered Nurse Anesthetist Luling, LA
1235169947 Brent Giuffre Individual Emergency Medicine Physician Luling, LA
1073547592 David Dulitz Individual Gastroenterology Physician Luling, LA
1053334185 Tlaloc Alferez Individual Infectious Disease Physician Luling, LA
1043318090 Sujata Chava Individual Internal Medicine Physician Luling, LA
1376635607 Chemmale Jayakrishnan Individual Specialist Luling, LA
1245315373 Diane Kilpatrick Individual Psychologist Luling, LA

Verify this record

Cross-check NPI 1407947708 against the authoritative CMS record: view St. Charles Medical Clinic on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for St. Charles Medical Clinic?
The NPI for St. Charles Medical Clinic is 1407947708, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for St. Charles Medical Clinic?
NPPES lists Chemmale Jayakrishnan (President/Doctor) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.