Organization Active NPI

9Amhealth Medical Group of Kansas, P.a.

  • Internal Medicine Physician
  • Encinitas, CA
National Provider Identifier
1124721717
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
9AMHEALTH MEDICAL GROUP OF KANSAS, P.A.
Practice address
914 N Coast Highway 101 Ste a
Encinitas, CA 92024-2074
Phone
(202) 932-9958
Fax
(844) 927-4824
NPI assigned
Mar 23, 2023
Last updated
Mar 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Daniel Distefano, PHARMD
Title
Operations Manager
Phone
(380) 400-9215

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
General Practice Physician 208D00000X NU
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

914 N Coast Highway 101 Ste a
Encinitas, CA 92024-2074

Mailing address

914 N Coast Highway 101 Ste a
Encinitas, CA 92024-2074
Phone (202) 932-9958

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1124721717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N COAST HIGHWAY 101 STE A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242074",
            "telephone_number": "202-932-9958",
            "fax_number": "844-927-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N COAST HIGHWAY 101 STE A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242074",
            "telephone_number": "202-932-9958",
            "fax_number": "844-927-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "9AMHEALTH MEDICAL GROUP OF KANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "DISTEFANO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "380-400-9215",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.