KENNETH R PURDOM II (NPI# 1497819361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497819361 |
| Entity Type | Individual |
| Full Name | KENNETH R PURDOM II |
| Credential | M.D. |
| 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 | 2006-12-21 |
| Last Update Date | 2013-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A21180 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A21180 | 05 |
| Street Address |
6354 PAINTER AVE |
| City | WHITTIER |
| State | CA |
| Zip Code | 90601-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649519646 | Kenneth R Purdom II Md Inc | Specialist | 6354 Painter Ave, Whittier, CA 90601-4632 | 2013-02-11 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487842878 | Vellore R Bhupathy M D A P C | Obstetrics & Gynecology | 14350 E Whittier Blvd, #205, Whittier, CA 90605 | 2007-10-10 |
| 1275724619 | Alejandro Enriquez Vazquez | Obstetrics & Gynecology | 12462 Putnam St Ste 303, Whittier, CA 90602-1049 | 2007-08-08 |
| 1689729527 | Vellore Rajabather Bhupathy | Obstetrics & Gynecology | 14350 E Whittier Blvd Suite 205, Whittier, CA 90605-2138 | 2007-01-23 |
| 1134283088 | Gene L. Soloway | Obstetrics & Gynecology | 14530 Whittier Blvd, Suite 325, Whittier, CA 90605-2129 | 2006-12-21 |
| 1174611263 | Joy A Leong | Obstetrics & Gynecology | 7630 S Painter Ave, Whittier, CA 90602-2357 | 2006-10-11 |
| 1114015963 | Brent J. Gray | Obstetrics & Gynecology | 7630 Painter Ave, Whittier, CA 90602-2357 | 2006-10-10 |
| 1922118843 | Neil C Jouvenat | Obstetrics & Gynecology | 15141 Whittier Bl, #235, Whittier, CA 90603-2135 | 2006-08-30 |
| 1194756825 | Steve John Vouis | Obstetrics & Gynecology | 15022 Mulberry Dr Ste A, Whittier, CA 90604-4431 | 2006-07-05 |
| 1245741719 | Sanar Incorporated | Obstetrics & Gynecology | 9080 Colima Rd, Whittier, CA 90605-1600 | 2017-10-23 |
| 1366805541 | Cariza Mercurio | Obstetrics & Gynecology | 12462 Putnam St Ste 303, Whittier, CA 90602-1049 | 2016-04-04 |
| 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.