Individual provider Active NPI

John Kenneth Kane, CRNA

  • Registered Nurse
  • Escondido, CA
National Provider Identifier
1306954813
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN295578 Issued in CA
Practice address
29724 Platanus Dr
Escondido, CA 92026-5936
Phone
(760) 297-1284
Fax
(760) 297-1279
NPI assigned
Aug 25, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN295578 CA Primary

Addresses

Primary practice location

29724 Platanus Dr
Escondido, CA 92026-5936

Mailing address

29724 Platanus Dr
Escondido, CA 92026-5936
Phone (760) 297-1284

Other identifiers 2

IdentifierTypeStateIssuer
RN2955780OtherCARN & NURSE ANESTHETIST
034760OtherNATIONAL ANESTHESIA LICEN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
34760CAMDMarriage & Family Therapist
RN295578CAMDRegistered Nurse
526CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Anesthesia PastSince Jan 1, 1989 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306954813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29724 PLATANUS DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920265936",
            "telephone_number": "760-297-1284",
            "fax_number": "760-297-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29724 PLATANUS DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920265936",
            "telephone_number": "760-297-1284",
            "fax_number": "760-297-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "JOHN",
        "middle_name": "KENNETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN295578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN & NURSE ANESTHETIST",
            "identifier": "RN2955780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ANESTHESIA LICEN",
            "identifier": "034760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.