Active NPI
Kenneth Paul James, CPO
- Prosthetist
- San Luis Obispo, CA
National Provider Identifier
1649519026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO 02934
- Practice address
- 4212 Morning Glory Way
San Luis Obispo, CA 93401-7645 - Phone
- (805) 242-6170
- NPI assigned
- Feb 5, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CPO 02934 | CA | |
| Prosthetist | 224P00000X | CPO 02934 | CA | Primary |
Addresses
Primary practice location
4212 Morning Glory Way
San Luis Obispo, CA 93401-7645
Mailing address
4212 Morning Glory Way
San Luis Obispo, CA 93401-7645
Phone (805) 242-6170
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPO 02934 | CA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1649519026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 MORNING GLORY WAY",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017645",
"telephone_number": "805-242-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 MORNING GLORY WAY",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017645",
"telephone_number": "805-242-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "KENNETH",
"middle_name": "PAUL",
"credential": "CPO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-05",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "CPO 02934",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CA",
"license": "CPO 02934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.