Organization Active NPI

Kris Okumu MD a Medical Corporation

  • Orthopaedic Surgery of the Spine Physician
  • Mountain View, CA
National Provider Identifier
1902144603
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A92195 Issued in CA
Legal business name
KRIS OKUMU MD A MEDICAL CORPORATION
Practice address
2490 Hospital Dr Ste 106
Mountain View, CA 94040-4117
Phone
(650) 735-2005
NPI assigned
Jan 30, 2013
Last updated
Jan 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Dr. Kris Okumu, MD
Title
Ceo
Phone
(650) 735-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A92195 CA Primary

Addresses

Primary practice location

2490 Hospital Dr Ste 106
Mountain View, CA 94040-4117

Mailing address

2490 Hospital Dr Ste 106
Mountain View, CA 94040-4117
Phone (650) 735-2005

National Provider Directory

National Provider Directory

Locations

2490 Hospital Dr
Ste 106
Mountain View, CA 94040
Phone (650) 695-0955

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1902144603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR STE 106",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404117",
            "telephone_number": "650-735-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR STE 106",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404117",
            "telephone_number": "650-735-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS OKUMU MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "OKUMU",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-735-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A92195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.