Divya R Kini MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DIVYA R KINI MD INC

Practice address

1500 Southgate Avenue
Divya Kini MD Inc Suite 204
Daly City, CA 94015

Phone

(650) 755-2192

Fax

(650) 745-0710

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Divya R KiniNPI 1649354309

Title

MD

Phone

(650) 755-2192

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Divya R Kini, MD

  • Family Medicine Physician
  • Daly City, CA
  • NPI 1649354309
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1093861544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVENUE",
            "address_2": "DIVYA KINI MD INC SUITE 204",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVENUE",
            "address_2": "DIVYA KINI MD INC SUITE 204",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-755-2192",
            "fax_number": "650-745-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVYA R KINI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "KINI",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "650-755-2192"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geena Difatta, DPT
• Digestive Diagnostic Center Inc
• Dennis Dimacali
• Sophia Dinh
• Jesse John Aromas Dion Jr., M.D.
• Dianna DO
• Bruce M Dobbs, DPM
• Tweety Doe
• Shayla Donley
• Ty Dooley

• Family Medicine Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.