Organization Active NPI

Howard R Knohl MD Inc

  • Diagnostic Radiology Physician
  • Stanton, CA
National Provider Identifier
1336331123
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G16790 Issued in CA
Legal business name
HOWARD R KNOHL MD INC
Practice address
12235 Beach Blvd
Ste 110
Stanton, CA 90680-3939
Phone
(714) 898-7828
Fax
(714) 892-8863
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Howard R Knohl, MD
Title
Owner President
Phone
(714) 898-7828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X G16790 CA Primary

Addresses

Primary practice location

12235 Beach Blvd
Ste 110
Stanton, CA 90680-3939

Mailing address

12235 Beach Blvd
Ste 110
Stanton, CA 90680-3939
Phone (714) 898-7828

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ77197ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

12235 Beach Blvd
Ste 110
Stanton, CA 90680
Phone (714) 898-7828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1336331123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12235 BEACH BLVD",
            "address_2": "STE 110",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803939",
            "telephone_number": "714-898-7828",
            "fax_number": "714-892-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12235 BEACH BLVD",
            "address_2": "STE 110",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803939",
            "telephone_number": "714-898-7828",
            "fax_number": "714-892-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD R KNOHL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "KNOHL",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "714-898-7828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G16790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ77197Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.