KMD Medical Group, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A60375 Issued in CA

Legal business name

KMD MEDICAL GROUP, INC.

Practice address

7910 Frost St
Suite 250
San Diego, CA 92123-2771

Phone

(858) 637-4800

Fax

(858) 637-4801

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Kosoy, MD FACS FRCSC

Title

President

Phone

(858) 637-4800

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1417091992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 KRISTEN CT",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 FROST ST",
            "address_2": "SUITE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232771",
            "telephone_number": "858-637-4800",
            "fax_number": "858-637-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMD MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "KOSOY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-637-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACS FRCSC"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "A60375",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A60375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (BALBOA NEPHROLOGY MEDICAL GROUP)",
            "identifier": "CE226Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Klus, RPT
• Carolyn Klusmeier, LMFT 119360
• Philip Matthew Kluss
• Sriwan Kluythong
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• KMN Psychology Inc
• KN Hospice
• Michael Knabel, PHARMD
• Danielle Knack
• Crystal Lyn Knapp, D.P.T

• Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.