Stephen P. Kundell, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G32875 Issued in CA

Practice address

1000 Newbury Rd Ste 200
Newbury Park, CA 91320-6441

Phone

(805) 480-3730

Fax

(805) 480-1951

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1659455822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 200",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206441",
            "telephone_number": "805-480-3730",
            "fax_number": "805-480-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 200",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206441",
            "telephone_number": "805-480-3730",
            "fax_number": "805-480-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDELL",
        "first_name": "STEPHEN",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G32875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104435",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Ko, D.C.
• Steven Randall Koe, M.D.
• Eliza Koh, DDS
• Kristie Jo'S Love, Comfort and Care LLC
• Timothy Frederick Kuenn, P.T.
• Emily Anne Kyle, LICENSED MIDWIFE
• Frances Joan Lada
• Laila Niazi MD a Professional Corporation
• Allan D Laird
• Kristy Renee Lamar, LCSW

• Pediatrics Physician in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.