Stephen L Kuchenbecker M D Inc a Prof Corp

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G30063 Issued in CA

Legal business name

STEPHEN L KUCHENBECKER M D INC A PROF CORP

Doing business as

Pacific Surgical Associates

Practice address

2001 Santa Monica Blvd Ste 685W
Santa Monica, CA 90404-2186

Phone

(310) 829-9400

Fax

(310) 829-6764

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Stephen L Kuchenbecker, MDNPI 1023094984

Title

President

Phone

(310) 829-9400

Specialties & licenses 1

Addresses

Other names 1

• Pacific Surgical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Stephen Louis Kuchenbecker

  • Surgery Physician
  • Santa Monica, CA
  • NPI 1023094984
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1932268075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 685W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042186",
            "telephone_number": "310-829-9400",
            "fax_number": "310-829-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 685W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042186",
            "telephone_number": "310-829-9400",
            "fax_number": "310-829-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L KUCHENBECKER M D INC A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "KUCHENBECKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-829-9400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G30063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Stephanou, MFTT
• Stephen C Berens, MD a Med. Corp.
• Stephen E Needle DDS, a Professional Corporation
• Stephen F Kingston DDS, Inc. (Second Street Family Dental)
• Stephen H Asher DDS a Professional Corporation
• Stephen Patt MD, Center for Family Practice and Entertainment Medicine
• Erica Lynn Stephenson
• Richard Alexander Steptoe Sr.
• Jeanette S. Steputis Ryan, D.C.
• Lisa C. Stern, M.D.

• Surgery Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.