Kenneth S Brown MD a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KENNETH S BROWN MD A PROFESSIONAL CORPORATION

Practice address

1866 North Orange Grove Ave.
Suite 102
Pomona, CA 91767-3031

Phone

(909) 620-4373

Fax

(909) 620-7179

NPI assigned

Mar 26, 2009

Organization subpart

No

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

Authorized official

Name

Kenneth Spiers Brown, MD

Title

President

Phone

(909) 620-4373

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1417199167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 NORTH ORANGE GROVE AVE.",
            "address_2": "SUITE 102",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673031",
            "telephone_number": "909-620-4373",
            "fax_number": "909-620-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 NORTH ORANGE GROVE AVE.",
            "address_2": "SUITE 102",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673031",
            "telephone_number": "909-620-4373",
            "fax_number": "909-620-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH S BROWN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SPIERS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-620-4373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G304560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsah Kellier
• Lacristen Lakaylen Kelly
• Julia Gathoni Kemei
• Rachel Kennard, LPT
• Kennedy Austin Foundation
• Kenneth W Lee & Associates Inc
• Kent Hung DMD Dentistry Inc
• July Keo
• Jyll Lynn Kerns
• Kerry N Gott MD Inc

• Internal Medicine Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.