Active NPI
KND Development 59, LLC
- Hospitalist Physician
- San Rafael, CA
National Provider Identifier
1891146866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- KND DEVELOPMENT 59, LLC
- Practice address
- 1550 Silveira Pkwy
San Rafael, CA 94903-4879 - Phone
- (415) 499-1000
- Fax
- (502) 596-4150
- NPI assigned
- Jun 30, 2016
- Organization subpart
- Yes
- Parent organization
- KINDRED HEALTHCARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda L Fisher
- Title
- DVP Revenue Cycle
- Phone
- (502) 596-7358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1550 Silveira Pkwy
San Rafael, CA 94903-4879
Mailing address
680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-7300
Other names 1
- 0606 Kindred Transitional Care and Rehabilitation - Smith Ranch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 14
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Presence Covenant Medical Center
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Fontana, CA
- NPI 1629053525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595548800000",
"number": "1891146866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022407",
"telephone_number": "502-596-7300",
"fax_number": "833-501-9731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 SILVEIRA PKWY",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949034879",
"telephone_number": "415-499-1000",
"fax_number": "502-596-4150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KND DEVELOPMENT 59, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KINDRED HEALTHCARE INC",
"enumeration_date": "2016-06-30",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DVP REVENUE CYCLE",
"authorized_official_telephone_number": "502-596-7358"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "0606 Kindred Transitional Care and Rehabilitation - Smith Ranch",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "0606 Kindred Transitional Care and Rehabilitation - Smith Ranch",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.