Individual provider Active NPI

Murray J Kornblit, M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1932181682
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A31027 Issued in CA
Practice address
6386 Alvarado CT
#310
San Diego, CA 92120-4905
Phone
(619) 229-5075
Fax
(619) 287-0833
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A31027 CA Primary

Addresses

Primary practice location

6386 Alvarado CT
#310
San Diego, CA 92120-4905

Mailing address

6386 Alvarado CT
#310
San Diego, CA 92120-4905
Phone (619) 229-5075

Other identifiers 1

IdentifierTypeStateIssuer
004310270MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A31027CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1932181682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT",
            "address_2": "#310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204905",
            "telephone_number": "619-229-5075",
            "fax_number": "619-287-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT",
            "address_2": "#310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204905",
            "telephone_number": "619-229-5075",
            "fax_number": "619-287-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNBLIT",
        "first_name": "MURRAY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A31027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004310270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.