Organization Active NPI

Eugene Thomas Kahn M D P C

  • Surgery Physician
  • Los Alamitos, CA
National Provider Identifier
1922756378
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
EUGENE THOMAS KAHN M D P C
Practice address
3801 Katella Ave Ste 320
Los Alamitos, CA 90720-3344
Phone
(657) 224-9209
Fax
(657) 224-9304
NPI assigned
Mar 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Dr. Eugene Thomas Kahn, MDNPI 1699193649
Title
Ceo
Phone
(657) 224-9209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3801 Katella Ave Ste 320
Los Alamitos, CA 90720-3344

Mailing address

10650 Reagan St
#97
Los Alamitos, CA 90720-8805
Phone (657) 224-9129

Other names 1

  • Eugene Thomas Kahn MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220429001022 CA Part B Supplier - Clinic/Group Practice 7416344023 Receives reassigned benefits from 1 practitioner
Practice locations: Los Alamitos, CA

National Provider Directory

National Provider Directory

Locations

10650 Reagan St
Unit 97
Los Alamitos, CA 90720

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1922756378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 REAGAN ST",
            "address_2": "#97",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907208805",
            "telephone_number": "657-224-9129",
            "fax_number": "657-224-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 320",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203344",
            "telephone_number": "657-224-9209",
            "fax_number": "657-224-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE THOMAS KAHN M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-224-9209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eugene Thomas Kahn MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.