Jeffrey King, MD, a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A83190 Issued in CA

Legal business name

JEFFREY KING, MD, A PROFESSIONAL CORPORATION

Practice address

3438 Loma Vista Rd
Ventura, CA 93003-3026

Phone

(805) 642-8109

Fax

(805) 642-8100

NPI assigned

Jan 17, 2007

Last updated

Dec 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey K. King, M.D.

Title

President

Phone

(805) 642-8109

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1932251436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033026",
            "telephone_number": "805-642-8109",
            "fax_number": "805-642-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033026",
            "telephone_number": "805-642-8109",
            "fax_number": "805-642-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY KING, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-642-8109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A831900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennings Physical Therapy, a Professional Corporation

• Family Medicine Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.