John Emil Kaiser, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G24693 Issued in CA

Practice address

1820 Fullerton Ave
#120
Corona, CA 92881-3160

Phone

(951) 371-4400

Fax

(951) 273-0719

NPI assigned

Dec 11, 2006

Last updated

Sep 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faro T. Owiesy, M.D., Inc

  dba Corona Doctors Medical Clinic

  • Family Medicine Physician
  • Corona, CA
  • NPI 1891724886
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1417017492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE",
            "address_2": "#120",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813160",
            "telephone_number": "951-371-4400",
            "fax_number": "951-273-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE",
            "address_2": "#120",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813160",
            "telephone_number": "951-371-4400",
            "fax_number": "951-273-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "JOHN",
        "middle_name": "EMIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G24693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G246930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ibtihal M Kadour, RPH
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospitals (Kaiser Riverside Home Health Agency (Parent))
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital - Riverside Hospice)
• Kaiser Permanente
• Ria Kale
• James George Kalkanis, MD
• Tobin Visi Kallippurathu, PMHNP
• Jennifer Kalmikov
• Alexander Kamau

• Vascular Surgery Physician in Corona, CA
• Providers in Corona, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.