KENNETH R PURDOM II MD INC (NPI# 1649519646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649519646 |
| Entity Type | Organization |
| Organization Name | KENNETH R PURDOM II MD INC |
| Practice Address |
6354 Painter Ave Whittier CA 90601-4632 |
| Practice Telephone | 5626980948 |
| Practice Fax Number | 5626987058 |
| Mailing Telephone | 5626980948 |
| Mailing Fax Number | 5626987058 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | KENNETH R PURDOM II (OWNER) |
| Authorized Official Telephone | 5626980948 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A21180 | CA | Other Service Providers |
| Street Address |
6354 PAINTER AVE |
| City | WHITTIER |
| State | CA |
| Zip Code | 90601-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497819361 | Kenneth R Purdom II | Obstetrics & Gynecology | 6354 Painter Ave, Whittier, CA 90601-4632 | 2006-12-21 |
| 1912273665 | Martha Beatriz Martinez | Dentist | 6354 Painter Ave, Whittier, CA 90601-4632 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672557 | Aseneth Calvillo Martinez | Specialist/Technologist | 13203 Hadley St., Suite 203, Whittier, CA 90601 | 2019-01-07 |
| 1255703732 | Russell Muir | Specialist/Technologist | 3600 Workman Mill Rd, Whittier, CA 90601 | 2015-10-23 |
| 1457795544 | Shahenaz Kamal Ahmed | Dentist | 12826, Philadelphia St., Suite #b, Whittier, CA 90601 | 2013-04-19 |
| 1730489014 | Theodore A Tanabe Dds A Professional Corporation | Clinic/Center | 13203 Hadley Street, Suite 101, Whittier, CA 90601 | 2010-11-02 |
| 1447489810 | Caroline Sambrano | Specialist/Technologist | 6318 Hoover, Apt. A, Whittier, CA 90601 | 2009-07-07 |
| 1215178520 | Healthways Medical Group, Inc. | General Practice | 6518 Greenleaf Ave., #25, Whittier, CA 90601 | 2009-03-16 |
| 1245496272 | Joyce Lester Welsh | Marriage & Family Therapist | 13006 Philadelphia, Suite #601, Whittier, CA 90601 | 2008-07-30 |
| 1285828657 | Marlene Kamal Salib | Dentist | 6742 Greenleaf Ave, #300, Whittier, CA 90601 | 2007-08-29 |
| 1740401785 | Adrienne Ly | Chiropractor | 13019 Bailey Ave., Ste. F, Whittier, CA 90601 | 2007-05-01 |
| 1831223189 | Audra J Martin | Marriage & Family Therapist | 6737 Bright Avenue, Suite 101, Whittier, CA 90601 | 2007-03-16 |
| Find all providers in zip 90601 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1184175606 | Metzie America Moran | Specialist | 8135 Painter Ave Suite 201, Whittier, CA 90602 | 2016-10-19 |
| 1083042840 | Industrial Medical Care Inc | Specialist | 12401 Slauson Ave Ste A, Whittier, CA 90606-2830 | 2013-10-14 |
| 1205032307 | Murray C. Zimmerman, M.d. | Specialist | 13202 Hadley St, Suite A, Whittier, CA 90601-4510 | 2007-06-25 |
| 1740301225 | Robert Michael Abram | Specialist | 260 Tarhelia Heights, Whittier, NC 28789-0607 | 2007-04-03 |
| 1568587236 | Mark Lee M.d., Inc. | Specialist | 11147 Washington Blvd., Whittier, CA 90606-3007 | 2007-03-20 |
| 1629117627 | Bright Medical Associates, Inc | Specialist | 12291 East Washington Blvd, Suite 100, Whittier, CA 90606-2500 | 2007-02-06 |
| 1538210208 | Whittier Kidney Dialysis Center | Specialist | 16417 Whittier Blvd, Whittier, CA 90603-3044 | 2007-01-16 |
| 1063501021 | Sudhaker H Nayak | Specialist | 12291 E Washington Blvd, Suite 100, Whittier, CA 90606-2500 | 2006-10-11 |
| 1467546937 | Theodore F Marshburn | Specialist | 15925 E Whittier Blvd, Whittier, CA 90603-2524 | 2006-10-02 |
| Find all providers in WHITTIER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.