Prendiville Properties, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PRENDIVILLE PROPERTIES, INC.

Practice address

11 Cobalt Dr
Dana Point, CA 92629-5906

Phone

(949) 547-3228

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kevin John Prendiville, M.D.

Title

President

Phone

(949) 547-3228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1972911097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COBALT DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926295906",
            "telephone_number": "949-547-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COBALT DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926295906",
            "telephone_number": "949-547-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENDIVILLE PROPERTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "PRENDIVILLE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-547-3228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Pham
• Stephen E Pituck, M.D.
• Jean Derek Potvin, D.C.
• Bradley B Powell, DC
• Gabrielle Powers, L.C.S.W
• Kevin J Prendiville, M.D.
• Preventativerx
• Products for Recovery Management Group LLC
• Products for Recovery Management Group, LLC
• Helene Ann Pulnik, ND

• Ophthalmology Physician in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.