Active NPI
Marie G Kuffner, M.D.
- Anesthesiology Physician
- Los Angeles, CA
National Provider Identifier
1629428545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C40873
- Practice address
- 10866 Leconte Ave
Los Angeles, CA 90095-0001 - Phone
- (310) 308-0898
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C40873 | CA | Primary |
| Hospice and Palliative Medicine (Anesthesiology) Physician | 207LH0002X | C40873 | CA |
Addresses
Primary practice location
10866 Leconte Ave
Los Angeles, CA 90095-0001
Mailing address
75 Pebble Cir
Pagosa Springs, CO 81147-8822
Phone (310) 308-0898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C40873 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1629428545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PEBBLE CIR",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "811478822",
"telephone_number": "310-308-0898",
"fax_number": "970-731-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10866 LECONTE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-308-0898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUFFNER",
"first_name": "MARIE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "C40873",
"primary": true
},
{
"code": "207LH0002X",
"taxonomy_group": "",
"desc": "Anesthesiology, Hospice and Palliative Medicine",
"state": "CA",
"license": "C40873",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.