Organization Active NPI

Eugene Kaplan, MD a Medical Corporation

  • Specialist
  • Walnut Creek, CA
National Provider Identifier
1043444359
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A672920 Issued in CA
Legal business name
EUGENE KAPLAN, MD A MEDICAL CORPORATION
Doing business as
Center For Advance Gynecologic Surgery
Practice address
120 La Casa Via
Suite 209
Walnut Creek, CA 94598-3007
Phone
(925) 979-9969
Fax
(925) 979-9979
NPI assigned
May 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Mrs. Irena Kaplan
Title
Practice Manager
Phone
(925) 979-9969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A672920 CA Primary

Addresses

Primary practice location

120 La Casa Via
Suite 209
Walnut Creek, CA 94598-3007

Mailing address

120 La Casa Via
Suite 209
Walnut Creek, CA 94598-3007
Phone (925) 979-9969

Other identifiers 1

IdentifierTypeStateIssuer
00A672920MedicaidCA

Other names 1

  • Center For Advance Gynecologic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

120 La Casa Via
Ste 209
Walnut Creek, CA 94598
Phone (925) 979-9969

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1043444359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA",
            "address_2": "SUITE 209",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983007",
            "telephone_number": "925-979-9969",
            "fax_number": "925-979-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA",
            "address_2": "SUITE 209",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983007",
            "telephone_number": "925-979-9969",
            "fax_number": "925-979-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE KAPLAN, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "IRENA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "925-979-9969",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A672920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A672920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Advance Gynecologic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.