Jennifer L King, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13473 Issued in CA

Practice address

265 Posada LN
Suite B
Templeton, CA 93465-4056

Phone

(805) 434-0900

Fax

(805) 434-9260

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1861543308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 POSADA LN",
            "address_2": "SUITE B",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654056",
            "telephone_number": "805-434-0900",
            "fax_number": "805-434-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 POSADA LN",
            "address_2": "SUITE B",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654056",
            "telephone_number": "805-434-0900",
            "fax_number": "805-434-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "13473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION",
            "identifier": "1028535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHYSICIAN ASSISTANT LICENSE",
            "identifier": "PA13473",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B PTAN NUMBER- PALMETTO GBA",
            "identifier": "CS813Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meg Ketchum, NP
• Kevin Forsythe MD Inc
• Kidney Dialysis Center of Templeton,LLC
• Chang S. Kim, MD
• Kinetix PT, Inc.
• Loren Bruce Kirk, D.D.S.
• Elvera Klein
• Brian A. Koch, MD
• Walter S Kohnke, DDS
• Margaret Kowall, RN

• Physician Assistant in Templeton, CA
• Providers in Templeton, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.