Active NPI
Louis P Kartsonis MD Inc
- Specialist
- San Diego, CA
National Provider Identifier
1487976007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G37754
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G377540 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.