Individual provider Active NPI

Joseph Kuntze, M.D.

  • Urology Physician
  • Templeton, CA
National Provider Identifier
1134210727
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G46309 Issued in CA
Practice address
1310 Las Tablas Rd
Suite 201
Templeton, CA 93465-9737
Phone
(805) 786-2500
Fax
(805) 781-0423
NPI assigned
Sep 27, 2006
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G46309 CA Primary

Addresses

Primary practice location

1310 Las Tablas Rd
Suite 201
Templeton, CA 93465-9737

Mailing address

3599 Sueldo St
110
San Luis Obispo, CA 93401-7329
Phone (805) 786-2500

Other identifiers 1

IdentifierTypeStateIssuer
00G463090MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120425000440 CA Practitioner - Urology 1254439508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G46309CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of the Central Coast Urology CurrentSince Oct 29, 1994 Accepting new patients
Urology Associates of the Central Coast Urology CurrentSince Oct 29, 1994 Accepting new patients

Locations

921 Oak Park Blvd
Ste 202
Pismo Beach, CA 93449
Phone (805) 473-7818

35 Casa St
Ste 370
San Luis Obispo, CA 93405
Phone (805) 541-1111

225 Prado Rd
Ste D
Sn Luis Obisp, CA 93401
Phone (805) 786-2500

3599 Sueldo St
Ste 110
Sn Luis Obisp, CA 93401

1105 Las Tablas Rd
Ste A
Templeton, CA 93465
Phone (805) 434-9641

1310 Las Tablas Rd
Ste 201
Templeton, CA 93465
Phone (805) 434-1408

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c3d5f6c-4d59-4a7f-9170-c96c3d9e561c/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1134210727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 SUELDO ST",
            "address_2": "110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017329",
            "telephone_number": "805-786-2500",
            "fax_number": "805-781-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 LAS TABLAS RD",
            "address_2": "SUITE 201",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659737",
            "telephone_number": "805-786-2500",
            "fax_number": "805-781-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTZE",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G46309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G463090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.