Kenneth Leonard Nudleman, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G37407 Issued in CA

Practice address

801 N. Tustin Ave
Suite 304
Santa Ana, CA 92705-3601

Phone

(714) 542-7996

Fax

(714) 542-3011

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kenneth L. Nudleman, M.D., Inc.

  • Neurology Physician
  • Santa Ana, CA
  • NPI 1083951016
  Medicare reassignment NPD Authorized official
• Breathe Diagnostics, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Corona, CA
  • NPI 1659727949
  NPD
• Orange County Global Medical Center, Inc

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1982697678
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1558324145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 IRVINE BLVD.",
            "address_2": "SUITE 105 PMB 241",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201998",
            "telephone_number": "714-542-7996",
            "fax_number": "714-542-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N. TUSTIN AVE",
            "address_2": "SUITE 304",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053601",
            "telephone_number": "714-542-7996",
            "fax_number": "714-542-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUDLEMAN",
        "first_name": "KENNETH",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G37407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G374070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Novoa, ASW
• Alexis Nowak, OTR/L
• Jennifer Anais Noyola, RN
• Deborah Nsilu
• Nu Health Surgical Center LLC
• Helen Lisbeth Nunez Salas
• Daniel Nunez, PSY.D.
• David Lawrence Nunez, M.D.
• J Daneiel Nunez, CP
• Jocelyn Korine Nunez

• Neurology Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.