Organization Active NPI

KLP Medical

  • Medical Physician Assistant
  • San Clemente, CA
National Provider Identifier
1407395528
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
14902 Issued in CA
Legal business name
KLP MEDICAL
Practice address
1508 Calle Sacramento
San Clemente, CA 92672-4913
Phone
(949) 939-1135
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Karen Pollick, PA-CNPI 1265568497
Title
General Partner
Phone
(949) 939-1135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 14902 CA Primary

Addresses

Primary practice location

1508 Calle Sacramento
San Clemente, CA 92672-4913

Mailing address

1508 Calle Sacramento
San Clemente, CA 92672-4913
Phone (949) 939-1135

National Provider Directory

National Provider Directory

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": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1407395528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 CALLE SACRAMENTO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724913",
            "telephone_number": "949-939-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 CALLE SACRAMENTO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724913",
            "telephone_number": "949-939-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLP MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "POLLICK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "949-939-1135",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "14902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.