DR. NATHAN ANDREW KLUDT (NPI# 1841457355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841457355 |
Entity Type | Individual |
Full Name | DR. NATHAN ANDREW KLUDT |
Credential | MD |
Practice Address |
1805 N California St Suite 405 Stockton CA 95204-6037 |
Practice Telephone | 2098707100 |
Practice Fax Number | 2098707116 |
Mailing Telephone | 2098707100 |
Mailing Fax Number | 2098707116 |
Enumeration Date | 2008-05-21 |
Last Update Date | 2014-09-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | A110013 | CA | Allopathic & Osteopathic Physicians |
Street Address |
1805 N CALIFORNIA ST SUITE 405 |
City | STOCKTON |
State | CA |
Zip Code | 95204-6037 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427029768 | Kala Swamynathan | Specialist | 1805 N California St, Auite 101, Stockton, CA 95204-6037 | 2006-01-26 |
1417405234 | Psc Stockton Outpatient Surgery Center, LLC | Clinic/Center | 1805 N California St, Suite 405, Stockton, CA 95204-6037 | 2016-09-21 |
1598158487 | California Street Outpatient Surgery Center, LLC | Clinic/Center | 1805 N California St, Suite 405, Stockton, CA 95204-6037 | 2015-03-17 |
1336489848 | Kristen Brown Montero | Nurse Practitioner | 1805 N California St, Stockton, CA 95204-6037 | 2013-02-20 |
1336413699 | Savage Premier Medical Group Inc | Obstetrics & Gynecology | 1805 N California St, Suite 202, Stockton, CA 95204-6037 | 2012-03-05 |
1346512076 | Jatinderjit Kaur Hundal | Nurse Practitioner | 1805 N California St, Suite 102, Stockton, CA 95204-6037 | 2012-01-26 |
1770721649 | Marie Pearl C. Francisco, Md, Inc | Clinic/Center | 1805 N California St, Suite 206, Stockton, CA 95204-6037 | 2009-01-30 |
1174710578 | Prithipal S Sethi | Urology | 1805 N California St, Suite 303, Stockton, CA 95204-6037 | 2007-09-29 |
1295921518 | Prithipal S. Sethi M.d., Inc. | Urology | 1805 N California St, Suite 303, Stockton, CA 95204-6037 | 2007-09-20 |
1770791642 | Valley Sleep Disorders Center of San Andreas Medical Group L.p. | Internal Medicine | 1805 N California St, Suite 206, Stockton, CA 95204-6037 | 2007-05-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
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Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417117128 | Sandon Kemper Saffier | Plastic Surgery | 1805 N California St Ste 308, Stockton, CA 95204-6032 | 2008-06-16 |
1194898023 | Steven Williams | Plastic Surgery | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-16 |
1255419073 | James Kim | Plastic Surgery | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
1245343946 | Joseph R Burlin | Plastic Surgery | 1805 N California St, Suite 405, Stockton, CA 95204-6037 | 2006-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696048 | Victor Liu Md, A Medical Corporation | Plastic Surgery | 1720 El Camino Real Ste 200, Burlingame, CA 94010-3226 | 2020-10-09 |
1629683255 | Veritas Aesthetics PC | Plastic Surgery | 23838 Valencia Blvd Ste 260, Valencia, CA 91355-5630 | 2020-09-10 |
1700405586 | Keyian Paydar, Md, PC | Plastic Surgery | 3991 Macarthur Blvd Ste 320, Newport Beach, CA 92660-3004 | 2020-04-13 |
1548892045 | Adventist Health Physicians Network | Plastic Surgery | 301 Science Dr Ste 180, Moorpark, CA 93021-0800 | 2020-02-12 |
1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
1790341832 | Frederic Jerome Kolb | Plastic Surgery | 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 | 2019-05-14 |
1588125835 | Beauty Eternal, Inc | Plastic Surgery | 1260 East Ave Ste 130, Chico, CA 95926-1021 | 2019-03-28 |
1689131229 | Schoemann Reconstructive Surgery | Plastic Surgery | 477 N El Camino Real Ste D101, Encinitas, CA 92024-1370 | 2019-03-01 |
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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.