Kintaudi & Associates Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KINTAUDI & ASSOCIATES MEDICAL GROUP, INC

Practice address

1125 Cherry Ave
Long Beach, CA 90813-3911

Phone

(562) 256-1633

Fax

(562) 256-1635

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Prudencia Kintaudi, M.D.

Title

President

Phone

(562) 256-1633

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1205874237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133911",
            "telephone_number": "562-256-1633",
            "fax_number": "562-256-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133911",
            "telephone_number": "562-256-1633",
            "fax_number": "562-256-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTAUDI & ASSOCIATES MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "KINTAUDI",
        "authorized_official_first_name": "PRUDENCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-256-1633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WG31192G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G31192",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WPA11462A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kingdom Causes
• Keyana Kingstro
• Ann Elizabeth Kinnischtzke
• Joyce Valerie Soriano Kinsella, FNP-C
• Ashley Kinsling, M.S., CCC-SLP
• Valetta Melanie Kirchner, LMFT
• Candice Kirk
• Sarah E Kirk, MFT
• Thomas M Kirk, LPT
• James Kirkland

• Family Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.