Ben Kundaria MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A35703 Issued in CA

Legal business name

BEN KUNDARIA MD INC

Practice address

1505 Shepard Dr Ste 106
Santa Maria, CA 93454-7016

Phone

(805) 922-6616

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Anita K. Gergen

Title

Office Manager

Phone

(805) 922-6616

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1346377975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR STE 106",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547016",
            "telephone_number": "805-922-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR STE 106",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547016",
            "telephone_number": "805-922-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN KUNDARIA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "GERGEN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-922-6616"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A35703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A357030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bejcek, OTR
• Melinda Christelle Theira Belgrave, MD
• Dana Bello
• Laura Theresa Beltran, PSY.D.
• Scarlett Clarisa Beltran, L.AC.
• Shantal Ben-Aderet
• Merav Ben-Zvi
• Kayla Benado, IBCLC
• Susan Diane Benaron, L.M.F.T
• Monique Marcelle Bendzick, MS

• Specialist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.