Kristofer Adam Kazlauskas, M.D.

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

A120842 Issued in CA

Practice address

34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098

Phone

(619) 532-6879

Fax

(619) 532-6908

NPI assigned

Jan 13, 2007

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1174674683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 VISTA DE LA CANADA",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92029",
            "telephone_number": "760-975-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "NMCSD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-532-6879",
            "fax_number": "619-532-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZLAUSKAS",
        "first_name": "KRISTOFER",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CA",
            "license": "A120842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Sam Kazanchi, MD
• Ahmad Naweed Kazem, D.C.
• Haron Hashmat Kazem, D.C.
• Kaylin Marie Kazem
• Rashid Kazerooni, PHARMD, BCPS
• Naureen Kazmi, PHARMD, BCACP
• Nicole Kazourra, M.A.
• Kazuhiro Kato DDS a Dental Corp
• KB Network, Inc.
• Kci USA, Inc. (Solventum Advanced Wound Care)

• Developmental - Behavioral Pediatrics Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Developmental - Behavioral Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.