Kenneth S. Ching, MD., Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G622561 Issued in CA

Legal business name

KENNETH S. CHING, MD., INC

Practice address

1205 East North Street
Manteca, CA 95336

Phone

(209) 823-3111

Fax

(800) 374-4232

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Kenneth S Ching, MD

Title

Owner/President

Phone

(209) 529-9603

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1255684122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COFFEE ROAD",
            "address_2": "C3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-529-9603",
            "fax_number": "209-529-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 EAST NORTH STREET",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "95336",
            "telephone_number": "209-823-3111",
            "fax_number": "800-374-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH S. CHING, MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "CHING",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "209-529-9603",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G622561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G6225610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kci USA, Inc.
• Alicia Keener
• Teresa Ann Kellstrom, LMFT
• Kelly Mah, M.D. (Manteca Obstetrics and Gynecology Medical Group)
• Himaja Kenchey
• El Rasheed Khalifa, DDS
• Kerolos George Khalil, DDS
• Abdul Waheed Khan, M.D.
• Ghazala Rahman Khan, DDS
• Shandana Khan

• Anesthesiology Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.