Audrey Konow M.D. a Professional Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G32179 Issued in CA

Legal business name

AUDREY KONOW M.D. A PROFESSIONAL CORP

Practice address

5150 E la Palma Ave Ste 106
Anaheim, CA 92807-2085

Phone

(714) 975-1507

Fax

(714) 340-0606

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Audrey Konow, M.D.NPI 1659481125

Title

President

Phone

(714) 961-8500

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Audrey M Konow, M.D.

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1659481125
  Medicare reassignment Authorized official
• Sharon Lee Stafford, PHD

  • Clinical Psychologist
  • Placentia, CA
  • NPI 1033310818
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1740473263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E LA PALMA AVE STE 106",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072085",
            "telephone_number": "714-975-1507",
            "fax_number": "714-340-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E LA PALMA AVE STE 106",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072085",
            "telephone_number": "714-975-1507",
            "fax_number": "714-340-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY KONOW M.D. A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "KONOW",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-961-8500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G32179",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G32179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004110236",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659481125",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CA",
            "identifier": "00G321790",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00G321790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jameela Atooli
• Atoz Medical Managment
• Yusef Attalla
• Ahmed Attrah, RCFE ADMIN
• Amal Mekhael Audi, DDS
• Katherine Elaine Auer
• Aultruism, Inc.
• Aum Pharmaceuticals Inc
• Aum Pharmaceuticals Inc.
• Bryan Aun, DC

• Internal Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.