K Bermudez Medical Corporation

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G79286 Issued in CA

Legal business name

K BERMUDEZ MEDICAL CORPORATION

Practice address

525 Spruce St
San Francisco, CA 94118-2681

Phone

(415) 668-2122

Fax

(415) 668-0818

NPI assigned

Dec 15, 2006

Last updated

Jul 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Michael Bermudez, M.D.NPI 1295834794

Title

Plastic and Reconstructive Surgeon

Phone

(415) 668-2122

Specialties & licenses 1

Addresses

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, and the practitioner matching its NPPES authorized official.

• Kenneth Michael Bermudez, M.D.

  • Plastic Surgery Physician
  • San Francisco, CA
  • NPI 1295834794
  Medicare reassignment Authorized official
• Ziv Mani Peled, MD

  • Plastic Surgery Physician
  • San Francisco, CA
  • NPI 1427001338
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1750443644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SPRUCE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182681",
            "telephone_number": "415-668-2122",
            "fax_number": "415-668-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SPRUCE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182681",
            "telephone_number": "415-668-2122",
            "fax_number": "415-668-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K BERMUDEZ MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PLASTIC AND RECONSTRUCTIVE SURGEON",
        "authorized_official_telephone_number": "415-668-2122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G79286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Klaine Carlet Justo
• Gabrielle Jutras, MD
• Douglas Paul Jutte, MD, MPH
• Krystal S. Juvenal
• Anita R Juvvadi, M.D.
• K W Counseling
• Ka Yan Mary Fong DDS Inc
• Ricka Kabasares
• Sarah Kabatt, NP
• Francesca Kabemba, MD

• Plastic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.