Organization Active NPI

C.P. Stiny, M.D. and W. a. Kern, M.D. Inc.

  • Ophthalmology Physician
  • Hemet, CA
National Provider Identifier
1356500060
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A19143 Issued in CA
Legal business name
C.P. STINY, M.D. AND W. A. KERN, M.D. INC.
Practice address
422 N San Jacinto St
Hemet, CA 92543-3124
Phone
(951) 658-2105
Fax
(951) 658-2017
NPI assigned
Jun 6, 2008
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. William Alfred Kern, M.D
Title
Physician
Phone
(951) 658-2105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A19143 CA Primary

Addresses

Primary practice location

422 N San Jacinto St
Hemet, CA 92543-3124

Mailing address

422 N San Jacinto St
Hemet, CA 92543-3124
Phone (951) 658-2105

Other identifiers 1

IdentifierTypeStateIssuer
00A191430MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1356500060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433124",
            "telephone_number": "951-658-2105",
            "fax_number": "951-658-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433124",
            "telephone_number": "951-658-2105",
            "fax_number": "951-658-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.P. STINY, M.D. AND W. A. KERN, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "951-658-2105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A19143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A191430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.