Kolbeck, Bauer and Stanton Medical Corporation

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

KOLBECK, BAUER AND STANTON MEDICAL CORPORATION

Practice address

950 Riverside Pkwy
Suite 90
West Sacramento, CA 95605-1501

Phone

(916) 863-1496

Fax

(916) 863-1498

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Peter Charles Kolbeck, M.D.

Title

Medical Director

Phone

(916) 863-1496

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1215363403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 RIVERSIDE PKWY",
            "address_2": "SUITE 90",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956051501",
            "telephone_number": "916-863-1496",
            "fax_number": "916-863-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 RIVERSIDE PKWY",
            "address_2": "SUITE 90",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956051501",
            "telephone_number": "916-863-1496",
            "fax_number": "916-863-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLBECK, BAUER AND STANTON MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "KOLBECK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "916-863-1496",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haejin Rebecca Kim, PA
• David B Kinney, MA
• Alexander Klimushkin, DDS
• Zane Knight
• Christopher Scott Koelln, LCSW, MSSW, BSW
• Vera Pavlovna Kondrashov
• Seneca Koontz, RN
• Teresa Koro
• Lev Korovin, DDS
• Natasha V Kovalenko, RDH

• Anatomic Pathology & Clinical Pathology Physician in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.