Organization Active NPI

Kester Wellness Medical

  • General Practice Physician
  • Van Nuys, CA
National Provider Identifier
1083529150
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KESTER WELLNESS MEDICAL
Practice address
6817 1/2 Kester Ave
Van Nuys, CA 91405-3716
Phone
(818) 900-6405
NPI assigned
Aug 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Stephen Nathan Pine, MD
Title
President
Phone
(818) 900-6405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6817 1/2 Kester Ave
Van Nuys, CA 91405-3716

Mailing address

6817 1/2 Kester Ave
Van Nuys, CA 91405-3716
Phone (818) 900-6405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1083529150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 1/2 KESTER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053716",
            "telephone_number": "818-900-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 1/2 KESTER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053716",
            "telephone_number": "818-900-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESTER WELLNESS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "PINE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-900-6405",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.