NPIMap

Organization Active NPI

Gladstien & Koutures

  • Pediatrics Physician
  • Anaheim, CA
National Provider Identifier
1669492161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GLADSTIEN & KOUTURES
Practice address
500 S Anaheim Hills Rd
Suite 140
Anaheim, CA 92807-4780
Phone
(714) 974-2220
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Keith Gladstien, M.D.
Title
President
Phone
(714) 974-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

500 S Anaheim Hills Rd
Suite 140
Anaheim, CA 92807-4780

Mailing address

500 S Anaheim Hills Rd
Suite 140
Anaheim, CA 92807-4780
Phone (714) 974-2220

National Provider Directory

National Provider Directory

Locations

500 S Anaheim Hills Rd
Ste 140
Anaheim, CA 92807
Phone (714) 974-2220

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669492161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 140",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-974-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 140",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-974-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTIEN & KOUTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLADSTIEN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-974-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.