Kenneth Stephan Brown MD a Professional Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G70912 Issued in CA

Legal business name

KENNETH STEPHAN BROWN MD A PROFESSIONAL CORPORATION

Practice address

1415 Ross Ave
El Centro, CA 92243-4306

Phone

(760) 339-7100

NPI assigned

Jul 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Brown, MD

Title

President

Phone

(714) 347-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1104302157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1000",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434306",
            "telephone_number": "760-339-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH STEPHAN BROWN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-347-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G70912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna Keefer
• Sheila Kellenbeck
• Dawn Michele Kelley-Lewis, NURSE PRACTITIONER
• Georgene Terese Kelley-Rondero, DDS
• Kenneth B. Rehm, D.P.M.
• Hamlet Khachatryan, DDS
• Waqar Arshad Khan, MD
• Khorsand DMD Inc
• Arash Khorsand, DMD
• Jennifer Rose Kidwell

• Anesthesiology Physician in El Centro, CA
• Providers in El Centro, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.