Organization Active NPI

Kidz Kare Doc

  • Pediatrics Physician
  • Covina, CA
National Provider Identifier
1700063773
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0A449400 Issued in CA
Legal business name
KIDZ KARE DOC
Practice address
147 W College St
Covina, CA 91723-2008
Phone
(626) 332-2860
Fax
(626) 967-3300
NPI assigned
Jan 22, 2008
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Falgooni R Patel, D.O.NPI 1457659369
Title
Chairman
Phone
(626) 332-2860

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
Pediatrics Physician 208000000X 0A449400 CA Primary

Addresses

Primary practice location

147 W College St
Covina, CA 91723-2008

Mailing address

147 W College St
Covina, CA 91723-2008
Phone (626) 332-2860

Other identifiers 1

IdentifierTypeStateIssuer
00A449400MedicaidCA

National Provider Directory

National Provider Directory

Locations

147 W College St
Covina, CA 91723
Phone (626) 332-2860

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1700063773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232008",
            "telephone_number": "626-332-2860",
            "fax_number": "626-967-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232008",
            "telephone_number": "626-332-2860",
            "fax_number": "626-967-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ KARE DOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "FALGOONI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "626-332-2860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "0A449400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A449400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.