Kenneth L Baldwin M D Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G34268 Issued in CA

Legal business name

KENNETH L BALDWIN M D INC

Practice address

1304 Ella St
Suite B-1
San Luis Obispo, CA 93401-4100

Phone

(805) 546-8662

Fax

(805) 546-8665

NPI assigned

Sep 27, 2016

Last updated

Sep 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Marie Garcia

Title

Administration

Phone

(805) 546-8662

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry D Herron, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • San Luis Obispo, CA
  • NPI 1730109968
  NPD (past)

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1154870509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST",
            "address_2": "SUITE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014100",
            "telephone_number": "805-546-8662",
            "fax_number": "805-546-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST",
            "address_2": "SUITE B-1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014100",
            "telephone_number": "805-546-8662",
            "fax_number": "805-546-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L BALDWIN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "805-546-8662",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G34268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FF235A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Richard Kelson, MD
• Ryan Kennard, AU.D.
• Amaia Sophia Kennedy
• Ezery Kennedy Jr.
• Timothy Kennedy
• Kenneth P. Tway, M.D., F.a.C.C., Inc.
• Dara Lynn Kerkorian, MSW
• Valerie Ann Marie Kert
• Grace Elisabeth Kessler I
• Penny Ketchum

• Orthopaedic Surgery Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.