David J Kirshbaum, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14700 Issued in CA

Practice address

8283 Grove Ave
Suite 201
Rancho Cucamonga, CA 91730-3137

Phone

(909) 981-6644

Fax

(909) 981-5048

NPI assigned

Mar 20, 2006

Last updated

Oct 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1801855861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE",
            "address_2": "SUITE 201",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303137",
            "telephone_number": "909-981-6644",
            "fax_number": "909-981-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE",
            "address_2": "SUITE 201",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303137",
            "telephone_number": "909-981-6644",
            "fax_number": "909-981-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHBAUM",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Angelina King
• Helen Jean Kingsby
• Tania Kinney
• Kenneth Andrew Kirscher
• Barbara Jo Kirshbaum, MFT
• Ireanne Kiteau
• Davon Kittles
• Kristy Rose Kleine, RCP, RRT
• Jayda Klobucher
• KND Development 55, L.L.C. (Kindred Hospital Rancho)

• Physician Assistant in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.