BOUNMANY KYLE KEOJAMPA, MD (NPI# 1881953909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881953909 |
| Entity Type | Organization |
| Organization Name | BOUNMANY KYLE KEOJAMPA, MD |
| Practice Address |
19925 Stevens Creek Blvd Ste 100 Cupertino CA 95014-2384 |
| Practice Telephone | 4156662525 |
| Practice Fax Number | 8888574458 |
| Mailing Telephone | 4156662525 |
| Mailing Fax Number | 8888574458 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2019-03-11 |
| Authorized Official Name | DR. BOUNMANY KYLE KEOJAMPA (PHYSICIAN/SURGEON) |
| Authorized Official Telephone | 4156662525 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
134756 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
19925 STEVENS CREEK BLVD STE 100 |
| City | CUPERTINO |
| State | CA |
| Zip Code | 95014-2384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629237953 | Swati Mehra | Physical Therapist | 19925 Stevens Creek Blvd Ste 100, Cupertino, CA 95014-2384 | 2008-06-02 |
| 1053956151 | Serene Healthcarellc | Physical Medicine & Rehabilitation | 19925 Stevens Creek Blvd Ste 100, Cupertino, CA 95014-2384 | 2019-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343500 | Voong Chuang LLC | Podiatrist | 1030 Pennington Ln, Cupertino, CA 95014 | 2018-07-23 |
| 1083114748 | Michelle T Vo | Social Worker | 19000 Homestead Rd Fl 2, Cupertino, CA 95014 | 2018-02-19 |
| 1437686797 | Yi Shou Chang | Acupuncturist | 20600 Mariani Ave Ste D, Cupertino, CA 95014 | 2017-05-17 |
| 1023553732 | Crossover Health Medical Group | Specialist | 19500 E. Homestead Rd., Cupertino, CA 95014 | 2017-01-04 |
| 1831649359 | Victoria Cheong | Occupational Therapist | 10050 N. Wolfe Road, Sw1-190, Cupertino, CA 95014 | 2016-10-07 |
| 1437532678 | Venus Tsai | Optometrist | 10123 North Wolfe Road, Cupertino, CA 95014 | 2015-07-07 |
| 1356731608 | Man-pik Lo, D.d.s., Inc. | Dentist | 20395 Pacifica Drive, Ste. 110, Cupertino, CA 95014 | 2015-01-26 |
| 1760826101 | Seiyu Kageyama | Acupuncturist | 10835 N. Wolfe Road., Cupertino, CA 95014 | 2013-04-27 |
| 1699043802 | Lisa Marie-mone Fourkas | Physical Therapist | 1601 South Deanza Blvd, Suite 111, Cupertino, CA 95014 | 2011-12-02 |
| 1508141193 | Kuo-jui Huang | Acupuncturist | 10325 S. Tantau Ave., Cupertino, CA 95014 | 2011-10-15 |
| Find all providers in zip 95014 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669670592 | Sachin Shrikant Parikh | Otolaryngology | 10385 Calvert Dr, Cupertino, CA 95014-3807 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114550498 | Hootan Zandifar Md Inc | Otolaryngology | 8920 Wilshire Blvd Ste 604, Beverly Hills, CA 90211-2006 | 2020-02-14 |
| 1548751183 | Farhad Ardesh Md Inc | Otolaryngology | 11620 Wilshire Blvd Ste 280, Los Angeles, CA 90025-1263 | 2018-05-18 |
| 1174943377 | Sunny Park Md, Inc | Otolaryngology | 901 Dover Dr Ste 126, Newport Beach, CA 92660-5546 | 2014-04-26 |
| 1154743987 | Keith Jay Wahl | Otolaryngology | 8735 Nottingham Pl, La Jolla, CA 92037-2129 | 2014-01-14 |
| 1295179570 | Ari Joseph Hyman | Otolaryngology | 16311 Ventura Blvd Ste 600, Encino, CA 91436-2134 | 2013-04-17 |
| 1710229893 | Zachary Calnan Fridirici | Otolaryngology | 2233 Post St Fl 3, San Francisco, CA 94115 | 2013-03-26 |
| 1376883975 | Su Mai | Otolaryngology | 13071 Brookhurst St Ste 150, Garden Grove, CA 92843-1024 | 2013-02-20 |
| 1710244892 | Meaghan Noud | Otolaryngology | 421 Post St Fl 14, San Francisco, CA 94102 | 2012-04-13 |
| 1508164500 | Dr. Sasha Maher D.o. | Otolaryngology | 10861 Cherry St Ste 106, Los Alamitos, CA 90720-5403 | 2011-03-01 |
| 1871804187 | Edwin E Breitenbach | Otolaryngology | 2601 Augusta, Tustin, CA 92782-1201 | 2010-07-01 |
| Find all providers with the same taxonomy | ||||
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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.