Kazanchi Medical Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A90062 Issued in CA

Legal business name

KAZANCHI MEDICAL CORP

Practice address

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Phone

(619) 465-0711

NPI assigned

Feb 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph S Kazanchi, MD

Title

Ceo

Phone

(619) 857-2569

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437297017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2038",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919432038",
            "telephone_number": "619-857-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-465-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZANCHI MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZANCHI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-857-2569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A90062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovepreet Kaur, PA-C
• Mandeep Kaur, NP
• Ann Gabriele Kavaney, FNP
• Kaveh Bagheri, MD Incorporated
• Susan Kaweski, M.D., F.A.C.S.
• Ghazia A Kazmi, DDS
• Wilfred S. Kearse Jr., M.D.
• Meesun Keel-Hammer, PHARM.D.
• Kathleen Matthews Keenan
• Thomas Allen Keller, PH.D.

• Internal Medicine Physician in La Mesa, CA
• Providers in La Mesa, 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 Aug 22, 2020; 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.