Organization Active NPI

Louis P Kartsonis MD Inc

  • Specialist
  • San Diego, CA
National Provider Identifier
1487976007
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G37754 Issued in CA
Legal business name
LOUIS P KARTSONIS MD INC
Practice address
4747 Mission Blvd
Suite 5
San Diego, CA 92109-2541
Phone
(858) 581-3838
Fax
(858) 581-3333
NPI assigned
Feb 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Dr. Lou Kartsonis, M.D.
Title
President
Phone
(858) 581-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G37754 CA Primary

Addresses

Primary practice location

4747 Mission Blvd
Suite 5
San Diego, CA 92109-2541

Mailing address

4747 Mission Blvd
Suite 5
San Diego, CA 92109-2541
Phone (858) 581-3838

Other identifiers 1

IdentifierTypeStateIssuer
00G377540MedicaidCA

National Provider Directory

National Provider Directory

Locations

1772 Garnet Ave
Ste E
San Diego, CA 92109
Phone (858) 270-9320

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1487976007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 MISSION BLVD",
            "address_2": "SUITE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092541",
            "telephone_number": "858-581-3838",
            "fax_number": "858-581-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 MISSION BLVD",
            "address_2": "SUITE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092541",
            "telephone_number": "858-581-3838",
            "fax_number": "858-581-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS P KARTSONIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "KARTSONIS",
        "authorized_official_first_name": "LOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-581-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G37754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G377540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.