Organization Active NPI

Kass Medical Holdings Inc

  • Anesthesiology Physician
  • Valley Village, CA
National Provider Identifier
1659628071
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
KASS MEDICAL HOLDINGS INC
Practice address
12646 Cumpston St
Valley Village, CA 91607-1914
Phone
(952) 926-3311
Fax
(952) 922-4492
NPI assigned
Aug 6, 2012
Last updated
Aug 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Dr. Sidney W Kass, M.D.NPI 1295798635
Title
Medical Director
Phone
(952) 926-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

12646 Cumpston St
Valley Village, CA 91607-1914

Mailing address

7104 W Lake St
Saint Louis Park, MN 55426-4417
Phone (952) 926-3311

National Provider Directory

National Provider Directory

Locations

7104 W Lake St
St Louis Park, MN 55426
Phone (952) 926-3311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1659628071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 W LAKE ST",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554264417",
            "telephone_number": "952-926-3311",
            "fax_number": "952-922-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12646 CUMPSTON ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071914",
            "telephone_number": "952-926-3311",
            "fax_number": "952-922-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASS MEDICAL HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "KASS",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "952-926-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.