Mathias John Kill, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A75769 Issued in CA

Practice address

34730 Bob Wilson Dr
General Surgery Department
San Diego, CA 92134-3098

Phone

(619) 532-7575

Fax

(619) 532-7673

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1023080033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 GRANADA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044934",
            "telephone_number": "619-804-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34730 BOB WILSON DR",
            "address_2": "GENERAL SURGERY DEPARTMENT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921343098",
            "telephone_number": "619-532-7575",
            "fax_number": "619-532-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILL",
        "first_name": "MATHIAS",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A75769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Kilgore
• Melanie Ann Brammer Kilgore, M.S. CCC-A
• Shaela Kilgore
• Benjamin Thomas Kilian, D.O.
• Briana Kilian
• Kevin Killacky II
• Alexis Killam
• Ebony L Killebrew
• Melody Killebrew
• Andrew Killeen

• Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.