Organization Active NPI

Kent L. Powell, M.D., Inc.

  • Psychiatry Physician
  • Laguna Niguel, CA
National Provider Identifier
1194734046
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C24137 Issued in CA
Legal business name
KENT L. POWELL, M.D., INC.
Practice address
30011 Ivy Glenn Dr
Suite 105 B
Laguna Niguel, CA 92677-5014
Phone
(949) 363-9842
Fax
(949) 388-5232
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Kent L. Powell, M.D.NPI 1750480133
Title
President
Phone
(949) 363-9842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X C24137 CA Primary

Addresses

Primary practice location

30011 Ivy Glenn Dr
Suite 105 B
Laguna Niguel, CA 92677-5014

Mailing address

31407 East Nine Drive
Laguna Niguel, CA 92677-2911
Phone (949) 363-9842

National Provider Directory

National Provider Directory

Locations

30011 Ivy Glenn Dr
Ste 105B
Laguna Niguel, CA 92677
Phone (619) 455-9505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1194734046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31407 EAST NINE DRIVE",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772911",
            "telephone_number": "949-363-9842",
            "fax_number": "949-388-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR",
            "address_2": "SUITE 105 B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775014",
            "telephone_number": "949-363-9842",
            "fax_number": "949-388-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT L. POWELL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-363-9842",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C24137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.