Active NPI
Marilyn Kaufhold, M.D., a Medical Corporation
- Children's Hospital
- San Diego, CA
National Provider Identifier
1336359389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Hospital
- License
- C33767
- Legal business name
- MARILYN KAUFHOLD, M.D., A MEDICAL CORPORATION
- Practice address
- 3020 Childrens Way
Mc5014
San Diego, CA 92123-4223 - Phone
- (858) 576-1700
- NPI assigned
- May 22, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn Kaufhold, M.D.
- Title
- President
- Phone
- (619) 295-4283
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Hospital | 282NC2000X | C33767 | CA | Primary |
Addresses
Primary practice location
3020 Childrens Way
Mc5014
San Diego, CA 92123-4223
Mailing address
2223 Whitman St
San Diego, CA 92103-1128
Phone (619) 295-4283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295806057 | Other | CA | NAT'L PROVIDER # - TYPE 1 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 587
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336359389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2223 WHITMAN ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031128",
"telephone_number": "619-295-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY",
"address_2": "MC5014",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-576-1700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARILYN KAUFHOLD, M.D., A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KAUFHOLD",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-295-4283",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": "CA",
"license": "C33767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAT'L PROVIDER # - TYPE 1",
"identifier": "1295806057",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.