Active NPI
John Kuo, M.D., PH.D.
- Reproductive Endocrinology Physician
- Encino, CA
National Provider Identifier
1962591990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- A79484
- Practice address
- 16055 Ventura Blvd
Suite 700
Encino, CA 91436 - Phone
- (310) 888-8448
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | A79484 | CA | Primary |
Addresses
Primary practice location
16055 Ventura Blvd
Suite 700
Encino, CA 91436
Mailing address
16055 Ventura Blvd Ste 700
Encino, CA 91436-2638
Phone (310) 888-8448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A794840 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79484 | CA | MD | Ambulatory Care Pharmacist |
| A79484 | CA | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Fertility Centers, a Medical Corporation | Current | Accepting new patients |
Locations
16055 Ventura Blvd
Ste 700
Encino, CA 91436
Phone (310) 888-8448
10 Congress St
Ste 200
Pasadena, CA 91105
Phone (424) 314-0190
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Fertility Facility
- Encino, CA
- NPI 1245669068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1962591990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16055 VENTURA BLVD STE 700",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362638",
"telephone_number": "310-888-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16055 VENTURA BLVD",
"address_2": "SUITE 700",
"city": "ENCINO",
"state": "CA",
"postal_code": "91436",
"telephone_number": "310-888-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUO",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "CA",
"license": "A79484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A794840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.