Organization Active NPI

John D Kaufman M D Inc

  • Orthopaedic Surgery Physician
  • Valencia, CA
National Provider Identifier
1609194612
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C35644 Issued in CA
Legal business name
JOHN D KAUFMAN M D INC
Practice address
23861 McBean Parkway
Suite E30
Valencia, CA 91355-2077
Phone
(661) 259-3412
Fax
(661) 259-7384
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Lisa Gilmore
Title
Office Manager
Phone
(661) 259-3412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X C35644 CA Primary

Addresses

Primary practice location

23861 McBean Parkway
Suite E30
Valencia, CA 91355-2077

Mailing address

23861 McBean Parkway
Suite E30
Valencia, CA 91355-2077
Phone (661) 259-3412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101113000120 CA Part B Supplier - Clinic/Group Practice 6901091107 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Clarita, CA; Valencia, CA

National Provider Directory

National Provider Directory

Locations

24355 Lyons Ave
Ste 240
Santa Clarita, CA 91321
Phone (661) 254-3294

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1609194612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23861 MCBEAN PARKWAY",
            "address_2": "SUITE E30",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552077",
            "telephone_number": "661-259-3412",
            "fax_number": "661-259-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23861 MCBEAN PARKWAY",
            "address_2": "SUITE E30",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552077",
            "telephone_number": "661-259-3412",
            "fax_number": "661-259-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D KAUFMAN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-259-3412"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C35644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.