Kevin Bradley Kaiserman, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

G78831 Issued in CA

Practice address

1401 W Merced Ave
Suite 101
West Covina, CA 91790-3401

Phone

(626) 813-9988

Fax

(626) 813-0075

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Valley Imaging Partnership-West Covina Pet LLC

  • Nuclear Medicine Physician
  • West Covina, CA
  • NPI 1790812253
  NPD (past)
• Wilshire Oncology Medical Group Inc

  • Specialist
  • Corona, CA
  • NPI 1649515750
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437250859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W MERCED AVE",
            "address_2": "SUITE 101",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903401",
            "telephone_number": "626-813-9988",
            "fax_number": "626-813-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W MERCED AVE",
            "address_2": "SUITE 101",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903401",
            "telephone_number": "626-813-9988",
            "fax_number": "626-813-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISERMAN",
        "first_name": "KEVIN",
        "middle_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "G78831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G788310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• K Hannani, MD Inc (Spine Specialty Institute)
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Hospice Program)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital - Tri Central Home Health Agency)
• Donald D. Kaiserman, M.D.
• Jacob Kalil
• Kami Home Health, Inc.
• Aaron Kan, PA-C
• Kishan Kandoria
• Kang & Kim DDS, Inc

• Pediatric Endocrinology Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Pediatric Endocrinology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.