Kenneth K Paddie a Professional Corp

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A24266 Issued in CA

Legal business name

KENNETH K PADDIE A PROFESSIONAL CORP

Practice address

27800 Medical Center Rd
Suite 261
Mission Viejo, CA 92691-6410

Phone

(949) 364-2555

Fax

(949) 364-0280

NPI assigned

Oct 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth K Paddie, M.D.

Title

President

Phone

(949) 364-2555

Specialties & licenses 1

Addresses

Other names 1

• Orange Coast Sinus Center Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1003999285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD",
            "address_2": "SUITE 261",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916410",
            "telephone_number": "949-364-2555",
            "fax_number": "949-364-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD",
            "address_2": "SUITE 261",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916410",
            "telephone_number": "949-364-2555",
            "fax_number": "949-364-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH K PADDIE A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "PADDIE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-364-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A24266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Coast Sinus Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jami Kemp
• Daniel H Kempff, D.C.
• Ken Wilkens MD, Inc.
• Kathryn Eloise Kennedy, PA-C
• Tami Beth Kennedy, NP
• Melissa Lynn Kenney, MFT
• Marissa Anne Kent, MS, RD
• Cailyn Michelle Kern, AU.D.
• Debra Kerr, ATC
• Haley Donovan Kessler, DDS

• Otolaryngology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.