Kookootsedes Medical PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

KOOKOOTSEDES MEDICAL PC

Doing business as

OC Rheumatology

Practice address

25411 Cabot Rd Ste 109
Laguna Hills, CA 92653-5517

Phone

(949) 535-4001

NPI assigned

May 6, 2022

Organization subpart

No

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

Authorized official

Name

Gayle KookootsedesNPI 1720428048

Title

MD

Phone

(949) 535-4001

Specialties & licenses 1

Addresses

Other names 1

• OC Rheumatology Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Gayle Michelle Kookootsedes, M.D.

  • Rheumatology Physician
  • San Diego, CA
  • NPI 1720428048
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1861138505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25411 CABOT RD STE 109",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535517",
            "telephone_number": "949-535-4001",
            "fax_number": "949-535-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25411 CABOT RD STE 109",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535517",
            "telephone_number": "949-535-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOKOOTSEDES MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "KOOKOOTSEDES",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "949-535-4001"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OC Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kontar Enterprises Inc (Milestone Elder Care)
• Mackenzie Konther
• George Samuel Konugres, DO
• Melissa Koo, OTR/L
• Koohyar Karimi DDS Inc
• Koorosh Hosn, D.D.S.
• Joanna Kopacz, MD
• Brian M Koperek, MD
• Matthew Kornswiet
• Kristen Kowalczyk, LCSW

• Rheumatology Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.