Active NPI
Thomas H. Kanegae M.D. AMC
- Specialist
- Los Angeles, CA
National Provider Identifier
1225158017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- THOMAS H. KANEGAE M.D. AMC
- Practice address
- 1245 Wilshire Blvd
Suite 804
Los Angeles, CA 90017-4810 - Phone
- (213) 977-1030
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane C Kezios
- Title
- Ceo
- Phone
- (213) 977-1030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1245 Wilshire Blvd
Suite 804
Los Angeles, CA 90017-4810
Mailing address
1245 Wilshire Blvd
Suite 804
Los Angeles, CA 90017-4810
Phone (213) 977-1030
National Provider Directory
National Provider Directory- Tax ID family
- Thomas H Kanegae MD a Medical Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1790956043
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1902805914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225158017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "SUITE 804",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174810",
"telephone_number": "213-977-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "SUITE 804",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174810",
"telephone_number": "213-977-1030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS H. KANEGAE M.D. AMC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KEZIOS",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-977-1030"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Janet Thomas Bond, NP
- Thomas C Apostle DO PC
- Thomas D Lim DPM Inc
- Thomas G Ahn M D a Prof Corp
- Thomas H Kanegae M D a Medical Corporation
- Thomas J Cachur Jr D O a Professional Medical Corporation
- Thomas J Gerke MD Inc
- Thomas John Carpenter Jr MD Inc a Medical Corporation
- Thomas P Schmalzried M D a Professional Corporation
- Thomas Wohlstadter DO Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.