Individual provider Active NPI

Kjartan Dean Armann, MD

  • Pediatric Adolescent Medicine Physician
  • San Jose, CA
National Provider Identifier
1619922887
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
A41413 Issued in CA
Practice address
2516 Samaritan Drive
Suite J
San Jose, CA 95124-4108
Phone
(408) 356-0578
Fax
(408) 356-3986
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X A41413 CA Primary

Addresses

Primary practice location

2516 Samaritan Drive
Suite J
San Jose, CA 95124-4108

Mailing address

2516 Samaritan Drive
Suite J
San Jose, CA 95124-4108
Phone (408) 356-0578

Other identifiers 1

IdentifierTypeStateIssuer
00A414130OtherCABS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160316001394 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4486950581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kjartanarmannmd.kjartanarmann@113497.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1619922887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 SAMARITAN DRIVE",
            "address_2": "SUITE J",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244108",
            "telephone_number": "408-356-0578",
            "fax_number": "408-356-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 SAMARITAN DRIVE",
            "address_2": "SUITE J",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244108",
            "telephone_number": "408-356-0578",
            "fax_number": "408-356-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMANN",
        "first_name": "KJARTAN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A41413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "00A414130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.