Individual provider Active NPI

Karin C. Kordas, M.D.

  • Internal Medicine Physician
  • Escondido, CA
National Provider Identifier
1043236292
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A78648 Issued in CA
Practice address
215 S Hickory St Ste 118
Escondido, CA 92025-4304
Phone
(760) 739-2371
Fax
(760) 739-2376
NPI assigned
Jul 14, 2006
Last updated
Jul 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A78648 CA Primary

Addresses

Primary practice location

215 S Hickory St Ste 118
Escondido, CA 92025-4304

Mailing address

PO Box 262160
San Diego, CA 92196-2160
Phone (760) 432-6644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001648 CA Practitioner - Internal MedicinePractitioner - Other (Physician) 0941287437 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2261 Douglas Blvd
Roseville, CA 95661-3831
Phone (916) 783-7109

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions27
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Nov 1, 2018 Accepting new patients
Escondido Internal Medicine Inc Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Apr 1, 2013 Accepting new patients
Scripps Health Current Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Apr 1, 2013 Accepting new patients
Regents of the University of California CurrentSince Nov 1, 2018 Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

215 S Hickory St
Ste 118
Escondido, CA 92025
Phone (760) 432-6644

2185 Citracado Pkwy
#1182
Escondido, CA 92029
Phone (805) 473-7626

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1620 E Roseville Pkwy
Ste 200
Roseville, CA 95661
Phone (916) 771-0251

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

Interoperability endpoints

  • Direct secure messaging: kkordas81212@scrippshlth.medalliesdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1043236292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921962160",
            "telephone_number": "760-432-6644",
            "fax_number": "760-739-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S HICKORY ST STE 118",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254304",
            "telephone_number": "760-739-2371",
            "fax_number": "760-739-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDAS",
        "first_name": "KARIN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A78648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.