Organization Active NPI

K. Kanakeswaran, M.D., Inc

  • Internal Medicine Physician
  • Lancaster, CA
National Provider Identifier
1346465903
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63159 Issued in CA
Legal business name
K. KANAKESWARAN, M.D., INC
Practice address
1601 W Avenue J
Suite 202
Lancaster, CA 93534-2824
Phone
(661) 942-9072
NPI assigned
Apr 17, 2007
Last updated
Sep 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Dr. Kanagasabai Kanakeswaran, M.D
Title
President
Phone
(661) 942-9072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A63159 CA Primary

Addresses

Primary practice location

1601 W Avenue J
Suite 202
Lancaster, CA 93534-2824

Mailing address

1601 W Avenue J
Suite 202
Lancaster, CA 93534-2824
Phone (661) 942-9072

National Provider Directory

National Provider Directory

Locations

12560 Boron Ave
Boron, CA 93516
Phone (760) 762-5064

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1346465903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W AVENUE J",
            "address_2": "SUITE 202",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342824",
            "telephone_number": "661-942-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W AVENUE J",
            "address_2": "SUITE 202",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342824",
            "telephone_number": "661-942-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. KANAKESWARAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "KANAKESWARAN",
        "authorized_official_first_name": "KANAGASABAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-942-9072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.