Kenneth R Purdom II MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A21180 Issued in CA

Legal business name

KENNETH R PURDOM II MD INC

Practice address

6354 Painter Ave
Whittier, CA 90601-4632

Phone

(562) 698-0948

Fax

(562) 698-7058

NPI assigned

Feb 11, 2013

Organization subpart

No

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

Authorized official

Name

Kenneth R Purdom II, MDNPI 1497819361

Title

Owner

Phone

(562) 698-0948

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Kenneth R Purdom II, M.D.

  • Obstetrics & Gynecology Physician
  • Whittier, CA
  • NPI 1497819361
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1649519646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6354 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014632",
            "telephone_number": "562-698-0948",
            "fax_number": "562-698-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6354 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014632",
            "telephone_number": "562-698-0948",
            "fax_number": "562-698-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R PURDOM II MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "PURDOM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-698-0948",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A21180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana A Kayoda, DPT
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• Jennifer Marie Keitzman
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• Odette Pasha Khalil, PHARM.D.
• Ausim Khan, M.D.
• Aziz A Khan, M/D.

• Specialist in Whittier, CA
• Providers in Whittier, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.