Michael A. Kent

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A37009 Issued in CA

Practice address

25500 Rancho Niguel
100
Laguna Niguel, CA 92677-7302

Phone

(949) 643-0500

NPI assigned

Jul 10, 2006

Last updated

Mar 21, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Coast Family Medical Center Inc

  • Clinic/Center
  • Laguna Niguel, CA
  • NPI 1902003791
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1952335598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD",
            "address_2": "STE 100",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777373",
            "telephone_number": "949-643-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL",
            "address_2": "100",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777302",
            "telephone_number": "949-643-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "330-35-8595",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Keller, PT, CWS, CLT
• Kellie M Morris DO Inc
• Cheryl L Kellogg, M.D.
• Kempff Chiropractic Corp
• Kent L. Powell, M.D., Inc.
• Kevin Walker, DDS, Inc.
• Artimis Khatibi, PHARM.D.
• Marjan Khorrami, D.C
• Catherine Chyu Kim, PHARMD
• Jung Eun Kim, PHARMD

• Family Medicine Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, 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 Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.