Organization Active NPI

KHT Care Plus Group Inc

  • Pain Medicine (Anesthesiology) Physician
  • Glendale, CA
National Provider Identifier
1508101072
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A44107 Issued in CA
Legal business name
KHT CARE PLUS GROUP INC
Practice address
705 Ivy St
Glendale, CA 91204-1003
Phone
(818) 637-4838
Fax
(818) 637-4857
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Kenneth H Thomas, M.D.
Title
President/ Ceo
Phone
(818) 637-4838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X A44107 CA Primary

Addresses

Primary practice location

705 Ivy St
Glendale, CA 91204-1003

Mailing address

705 Ivy St
Glendale, CA 91204-1003
Phone (818) 637-4838

Other identifiers 1

IdentifierTypeStateIssuer
A44107OtherCALICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1508101072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 IVY ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041003",
            "telephone_number": "818-637-4838",
            "fax_number": "818-637-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 IVY ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041003",
            "telephone_number": "818-637-4838",
            "fax_number": "818-637-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHT CARE PLUS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "818-637-4838",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A44107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A44107",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.