NPIMap

Organization Active NPI

David Kagan MD Inc

  • Internal Medicine Physician
  • Berkeley, CA
National Provider Identifier
1861926669
Registry record updated May 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A113476 Issued in CA
Legal business name
DAVID KAGAN MD INC
Practice address
1829 Monterey Ave
Berkeley, CA 94707-2543
Phone
(832) 472-5012
NPI assigned
Apr 18, 2017
Last updated
May 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2019

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

Authorized official

Name
David KaganNPI 1992965768
Title
Ceo
Phone
(832) 472-5012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A113476 CA Primary

Addresses

Primary practice location

1829 Monterey Ave
Berkeley, CA 94707-2543

Mailing address

241 S Orange Dr
Los Angeles, CA 90036-3010
Phone (832) 472-5012

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558224000000",
    "number": "1861926669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 S ORANGE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363010",
            "telephone_number": "832-472-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 MONTEREY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072543",
            "telephone_number": "832-472-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KAGAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2019-05-19",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-472-5012"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A113476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.