Kenneth D. Laxer, M.D., Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G28500 Issued in CA

Legal business name

KENNETH D. LAXER, M.D., INC

Practice address

2100 Webster St
Ste 115
San Francisco, CA 94115-2373

Phone

(415) 600-7880

Fax

(415) 600-7885

NPI assigned

May 22, 2009

Organization subpart

No

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

Authorized official

Name

Kenneth Laxer

Title

Owner

Phone

(415) 287-6746

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1942435771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "STE 115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-600-7880",
            "fax_number": "415-600-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "STE 115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-600-7880",
            "fax_number": "415-600-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D. LAXER, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "LAXER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-287-6746"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G28500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G285000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon R Kennedy, MD
• Stephanie Kennell-Heiling, NP
• Jane Simon Kenner, PHD
• Kenneth Braslow MD a PC
• Kenneth D Chan MD Inc
• Kenneth F. Binmoeller, MD Inc
• Kenneth H Chang MD a Medical Corp
• Kenneth I Light MD Inc
• Kenneth I. Gottlieb, M.D. a Professional Corporation
• Kenneth Karamyan DDS Inc (Presidio Dental)

• Neurology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.