Organization Active NPI

Kenneth Ishizue MD a Professional Medical Corporation

  • Orthopaedic Surgery Physician
  • Salinas, CA
National Provider Identifier
1063610210
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G56343 Issued in CA
Legal business name
KENNETH ISHIZUE MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
1441 Constitution Blvd
Suite 200 Orthopedics Clinic
Salinas, CA 93906-3100
Phone
(831) 755-4299
NPI assigned
Jul 10, 2007
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Kenneth K Ishizue, M.D.
Title
President
Phone
(831) 755-4299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G56343 CA Primary

Addresses

Primary practice location

1441 Constitution Blvd
Suite 200 Orthopedics Clinic
Salinas, CA 93906-3100

Mailing address

12705 Corte Cordillera
Salinas, CA 93908-8942
Phone (831) 755-4299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1063610210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12705 CORTE CORDILLERA",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939088942",
            "telephone_number": "831-755-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "address_2": "SUITE 200 ORTHOPEDICS CLINIC",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-755-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH ISHIZUE MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "ISHIZUE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-755-4299",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G56343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.