NPIMap

Organization Active NPI

Patrick L S Kong M D a Professional Corporation

  • Specialist
  • Oxnard, CA
National Provider Identifier
1316255201
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A043407 Issued in CA
Legal business name
PATRICK L S KONG M D A PROFESSIONAL CORPORATION
Practice address
1700 N Rose Ave Ste 450
Oxnard, CA 93030-7628
Phone
(805) 988-1105
Fax
(805) 988-1554
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Dr. Patrick L S Kong, MD
Title
Owner
Phone
(805) 988-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A043407 CA Primary

Addresses

Primary practice location

1700 N Rose Ave Ste 450
Oxnard, CA 93030-7628

Mailing address

P.O. Box 1540
Camarillo, CA 93011
Phone (805) 988-1105

Other identifiers 1

IdentifierTypeStateIssuer
A043407OtherCALIC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1316255201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1540",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93011",
            "telephone_number": "805-988-1105",
            "fax_number": "805-988-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE STE 450",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307628",
            "telephone_number": "805-988-1105",
            "fax_number": "805-988-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK L S KONG M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "L S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-988-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A043407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "A043407",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.