Jack Earl Kundin, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G11824 Issued in CA

Practice address

3466 El Camino Real
Santa Clara, CA 95051-2809

Phone

(408) 554-1400

Fax

(408) 554-1500

NPI assigned

Sep 18, 2008

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Good Health Medical Center, Inc.

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1871532291
  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1104075787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 EL CAMINO REAL",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950512809",
            "telephone_number": "408-554-1400",
            "fax_number": "408-554-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 EL CAMINO REAL",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950512809",
            "telephone_number": "408-554-1400",
            "fax_number": "408-554-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDIN",
        "first_name": "JACK",
        "middle_name": "EARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G11824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer V Kumar, M.D.
• Niranjan Kumar
• Parul Parikh Kumar, MD
• Soundarya Kumaravelu, MD
• Larisa D. Kunda, MD
• Jason Kung, DDS, MS
• Szu-Wen Kung
• Dale Yukito Kunihira, M.D.
• Todd K Kuniyuki, PHARM D.
• Kuo Chiropractic Health Group

• Neurology Physician in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.