Active NPI
Kenneth H Geiger, M.D.
- Health Service Clinic/Center
- Hawthorne, CA
National Provider Identifier
1992965859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- G23229
- Practice address
- 12321 Hawthorne Blvd
Hawthorne, CA 90250-3840 - Phone
- (310) 679-1441
- Fax
- (310) 973-1489
- NPI assigned
- Jun 13, 2008
- 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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | G23229 | CA | Primary |
Addresses
Primary practice location
12321 Hawthorne Blvd
Hawthorne, CA 90250-3840
Mailing address
12321 Hawthorne Blvd
Hawthorne, CA 90250-3840
Phone (310) 679-1441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G23229 | Other | CA | STATE LICENSE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G23229 | CA | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1992965859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12321 HAWTHORNE BLVD",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902503840",
"telephone_number": "310-679-1441",
"fax_number": "310-973-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12321 HAWTHORNE BLVD",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902503840",
"telephone_number": "310-679-1441",
"fax_number": "310-973-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEIGER",
"first_name": "KENNETH",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-13",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CA",
"license": "G23229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G23229",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.