Monica Ann Kieffer, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A5594 Issued in CA

Practice address

842 2ND St
Encinitas, CA 92024-4408

Phone

(760) 436-6882

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 22, 2017 through Nov 22, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1922022755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 SECOND STREET",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244408",
            "telephone_number": "760-436-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244408",
            "telephone_number": "760-436-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFFER",
        "first_name": "MONICA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A5594",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A5594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX55940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Datis Kharrazian, D.C., D.H.SC.
• Wendy Ann Khentigan, MD
• Avid Khorram, PHD
• Sarah Khorram, CNM
• Shawn Thomas Kidd, D.C.
• Ray J. Kieffer Jr., DDS
• Alexia Killen
• Ashley Ann Kim, RD
• Gordon L. Kim, M.D.
• Grace Kim

• General Practice Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.