Organization Active NPI

Richard a Kahn MD Inc

  • Plastic and Reconstructive Surgery Physician
  • Oakland, CA
National Provider Identifier
1104008903
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
C25806 Issued in CA
Legal business name
RICHARD A KAHN MD INC
Practice address
3120 Webster Street
Oakland, CA 94609-3421
Phone
(510) 451-5700
Fax
(510) 451-9830
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Richard A Kahn, MD
Title
President
Phone
(510) 451-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X C25806 CA Primary

Addresses

Primary practice location

3120 Webster Street
Oakland, CA 94609-3421

Mailing address

3120 Webster Street
Oakland, CA 94609-3421
Phone (510) 451-5700

Other identifiers 1

IdentifierTypeStateIssuer
1821161266OtherNPI IND

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1104008903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 WEBSTER STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093421",
            "telephone_number": "510-451-5700",
            "fax_number": "510-451-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 WEBSTER STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093421",
            "telephone_number": "510-451-5700",
            "fax_number": "510-451-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A KAHN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-451-5700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "C25806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI IND",
            "identifier": "1821161266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.