Anita Kundi D.O I.N.C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

20A67250 Issued in CA

Legal business name

ANITA KUNDI D.O I.N.C

Practice address

12598 #219 Central Ave
Suite B
Chino, CA 91710-3573

Phone

(909) 591-1444

Fax

(909) 591-7785

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Anita Kundi, D.ONPI 1518933266

Title

President

Phone

(909) 591-1444

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Anita Kundi, D.O

  • Family Medicine Physician
  • Chino, CA
  • NPI 1518933266
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1881920247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12598 #219 CENTRAL AVE",
            "address_2": "SUITE B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-591-1444",
            "fax_number": "909-591-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12598 #219 CENTRAL AVE",
            "address_2": "SUITE B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103573",
            "telephone_number": "909-591-1444",
            "fax_number": "909-591-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA KUNDI D.O I.N.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "KUNDI",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-591-1444",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "20A67250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "020A67250",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Chino, CA
• Providers in Chino, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.