John Kownacki MD a Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G84672 Issued in CA

Legal business name

JOHN KOWNACKI MD A MEDICAL CORPORATION

Practice address

8881 Fletcher Pkwy
#395
La Mesa, CA 91942-3134

Phone

(619) 440-2022

Fax

(619) 466-2466

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

John J Kownacki, MD

Title

MD Owner

Phone

(619) 466-2022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John Kownacki MD A Medical Corporation Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Stephen Kohl

  • Ophthalmology Physician
  • El Cajon, CA
  • NPI 1649692914
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1922031467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "#395",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-440-2022",
            "fax_number": "619-466-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "#395",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-440-2022",
            "fax_number": "619-466-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KOWNACKI MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "KOWNACKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "619-466-2022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G84672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G846720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Kownacki MD A Medical Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Zhao Jia
• Ying Jiang, L.AC.
• Andrea Jimenez, ATC
• John Ruben Jimenez, LCSW
• Sarah Jimenez, MA
• John Qian M.D. Inc.
• John R Webb MD a Medical Corporation
• John S. Bartholow, PH.D a Psychological Corp.
• John W. Allen, M.D.
• Ashley M. Johnson

• Ophthalmology Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.