Kenneth H Jesser MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A44813 Issued in CA

Legal business name

KENNETH H JESSER MD INC

Practice address

44530 San Pablo Ave
Ste 100
Palm Desert, CA 92260-3596

Phone

(760) 341-7563

Fax

(760) 341-0876

NPI assigned

Oct 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth H Jesser, M.D.NPI 1336233147

Title

Owner

Phone

(760) 341-7563

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth H Jesser, M.D.

  • Specialist
  • Palm Desert, CA
  • NPI 1336233147
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1224288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1306098678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44530 SAN PABLO AVE",
            "address_2": "STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603596",
            "telephone_number": "760-341-7563",
            "fax_number": "760-341-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44530 SAN PABLO AVE",
            "address_2": "STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603596",
            "telephone_number": "760-341-7563",
            "fax_number": "760-341-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH H JESSER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-18",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "JESSER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-341-7563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Kelly, PT, DPT
• William M. Kelly, M.D.
• Alexander Kendrall
• Carin Kennard, RN
• Kenneth Carl Russ MD Inc
• Kenneth Hodgkins DDS Inc
• Kepp Family & Group Practice
• Joseph Hirsch Kern, RPH
• Frank T Kerrigan, DO
• Janet M Kerrigan, DO

• Specialist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.