Organization Active NPI

Okumu MD Inc.

  • Orthopaedic Surgery of the Spine Physician
  • Daly City, CA
National Provider Identifier
1952857369
Registry record updated Aug 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A92195 Issued in CA
Legal business name
OKUMU MD INC.
Practice address
1800 Sullivan Ave
Ste 602
Daly City, CA 94015-2228
Phone
(408) 458-0794
Fax
(408) 358-8692
NPI assigned
Aug 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2016

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

Authorized official

Name
Kris Okumu, M.D.
Title
President/ Owner
Phone
(408) 458-0794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X A92195 CA Primary

Addresses

Primary practice location

1800 Sullivan Ave
Ste 602
Daly City, CA 94015-2228

Mailing address

1800 Sullivan Ave
Ste 602
Daly City, CA 94015-2228
Phone (408) 458-0794

National Provider Directory

National Provider Directory

Locations

1800 Sullivan Ave
Rm 602
Daly City, CA 94015
Phone (415) 755-2455

NPI Registry JSON

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472256000000",
    "number": "1952857369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE",
            "address_2": "STE 602",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152228",
            "telephone_number": "408-458-0794",
            "fax_number": "408-358-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE",
            "address_2": "STE 602",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152228",
            "telephone_number": "408-458-0794",
            "fax_number": "408-358-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKUMU MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-08-27",
        "status": "A",
        "authorized_official_last_name": "OKUMU",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "408-458-0794",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A92195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; 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.