Dan Kouwabunpat, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A67820 Issued in CA

Practice address

2 Journey Ste 100
Aliso Viejo, CA 92656-3372

Phone

(949) 831-4472

Fax

(949) 831-6499

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Children'S Hospital of Orange County

  • Children's Hospital
  • Orange, CA
  • NPI 1811080526
  NPD (past)
• Mission Hospital Regional Medical Center

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)
• Pediatric Subspecialty Faculty, Inc.

  • Pediatrics Physician
  • Orange, CA
  • NPI 1790850279
  NPD (past)
• Saddleback Memorial Medical Center

  • Rehabilitation Hospital Unit
  • Laguna Hills, CA
  • NPI 1114967114
  NPD (past)
• Sea View Pediatric Medical Assoc. Inc.

  • Pediatrics Physician
  • Laguna Hills, CA
  • NPI 1518034941
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1063567071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JOURNEY STE 100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563372",
            "telephone_number": "949-831-4472",
            "fax_number": "949-831-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOURNEY STE 100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563372",
            "telephone_number": "949-831-4472",
            "fax_number": "949-831-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUWABUNPAT",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A67820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Kim, M.D.
• Katherine King, PA-C
• KMS Fertility Inc
• Nathan Glen Knott
• Nicole L Knott
• Janice Sylvia Kowalski, DC
• Carolyn Koyama
• Anita Padmanabhan Krishnan, P.T., D.P.T.
• La Therapy Alliance, a Licensed Clinical Social Worker Corporation
• Laguna Treatment Hospital, LLC

• Pediatrics Physician in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.