Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Destrehan Medical Clinic

Q: What type of organization is Destrehan Medical Clinic?

Destrehan Medical Clinic is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

Primary Care Clinic/Center in Destrehan, LA · enumerated 2006 · authorized official Chemmale Jayakrishnan, President/Doctor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790876019

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Registry record

Entity type Organization (Type 2)

Legal business name Destrehan Medical Clinic

Practice address 12604 River Rd, Destrehan, LA, 70047

Phone (985) 764-0439

Fax (985) 725-1464

Enumeration date Sep 28, 2006

Last updated in NPPES Jul 21, 2022

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Chemmale Jayakrishnan

Title President/Doctor

Phone (985) 785-2045

Other identifiers

Identifier	Type	State	Issuer
1798703	Medicaid	LA	-

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 → Validate an NPI →

Frequently asked questions

What type of organization is Destrehan Medical Clinic?

Destrehan Medical Clinic is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.