John J Kownacki, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G84672 Issued in CA

Practice address

680 Fletcher Pkwy Ste 202
El Cajon, CA 92020-2500

Phone

(619) 440-2022

Fax

(619) 440-2466

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225189418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13484 CALAIS DR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143524",
            "telephone_number": "858-794-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 FLETCHER PKWY STE 202",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202500",
            "telephone_number": "619-440-2022",
            "fax_number": "619-440-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWNACKI",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G84672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G846720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephenie Konx, RN
• Yosuf Korel, D.D.S.
• Ebtissam H Korkis, MD
• Vivian K Korkis
• Charlett Marie Korling
• Olivia Kozarev, LCSW
• Marc Ian Kraidman
• Anita Debra Kramer, OTR/L
• Mark Gradwell Krause, DC
• Steven E Krause, D.D.S.

• Ophthalmology Physician in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.