Organization Active NPI

Kaestner Medical Corporation

  • Ophthalmology Physician
  • Encinitas, CA
National Provider Identifier
1245387471
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G42901 Issued in CA
Legal business name
KAESTNER MEDICAL CORPORATION
Practice address
477 N El Camino Real
C-308
Encinitas, CA 92024-1328
Phone
(760) 942-9225
Fax
(760) 942-9343
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joan H Kaestner, M.D.
Title
Owner
Phone
(760) 942-9225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G42901 CA Primary

Addresses

Primary practice location

477 N El Camino Real
C-308
Encinitas, CA 92024-1328

Mailing address

477 N El Camino Real
C-308
Encinitas, CA 92024-1328
Phone (760) 942-9225

National Provider Directory

National Provider Directory

Locations

477 N El Camino Real
Ste C308
Encinitas, CA 92024
Phone (760) 942-9225

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245387471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "C-308",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-942-9225",
            "fax_number": "760-942-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "C-308",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-942-9225",
            "fax_number": "760-942-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAESTNER MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAESTNER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-942-9225",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G42901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

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.

Verify at the official NPI Registry.