Kunj Patel Medical Doctor PC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

KUNJ PATEL MEDICAL DOCTOR PC

Doing business as

Crissp Longevity Clinic

Practice address

1682 Pine St
San Francisco, CA 94109-4525

Phone

(415) 851-3502

Fax

(415) 406-8760

NPI assigned

Apr 25, 2024

Last updated

Apr 25, 2024By 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. Kunj Patel, MDNPI 1699185249

Title

Director

Phone

(415) 851-3502

Specialties & licenses 1

Addresses

Other names 1

• Crissp Longevity Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kunj G Patel, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Saint Louis, MO
  • NPI 1699185249
  NPD (past) Authorized official

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1477309094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20500 BELSHAW AVE # DPT2110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463506",
            "telephone_number": "415-851-3502",
            "fax_number": "415-406-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1682 PINE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094525",
            "telephone_number": "415-851-3502",
            "fax_number": "415-406-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNJ PATEL MEDICAL DOCTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KUNJ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-851-3502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crissp Longevity Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Betsy Kung, DPT
• Victoria W Kung
• Jodi Kunibe, NP
• Hillary V Kunins, MD, MPH
• Teresamaria Garchitorena Kunishi, ND, RN, PMHNP
• Ashlen Kuntz
• Alesia Kunz, MFT
• Brittany Elise Kunza, M.D.
• Anda Kuan Kuo, MD
• Angel Chen Kuo, RN, MSN, CPNP

• Preventive Medicine/Occupational Environmental Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.