DR. MICHAEL DENNIS KIFUNE MD NPI 1578568614

NPI Information

  • NPI: 1578568614
  • Provider Name: DR. MICHAEL DENNIS KIFUNE, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1333 HIGHWAY 49
    SAN ANDREAS, CA
    ZIP 95249
  • Phone: (209) 755-1400

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NPI Details

DR. Michael Dennis Kifune, MD is a family medicine in San Andreas, CA with 48 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Michael Dennis Kifune, MD NPI is 1578568614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduation Year:1978

The provider's business location address is:

1333 HIGHWAY 49
SAN ANDREAS, CA
ZIP 95249-618
Phone: (209) 755-1400
Fax: (209) 755-1430

The NPI 1578568614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 9/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineG39833CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G398332MEDICARE PINCALIFORNIA
2A47986MEDICARE UPINCALIFORNIA
300G398330MEDICAIDCALIFORNIA
400G398333MEDICARE PINCALIFORNIA
5CE064MEDICARE PINCALIFORNIA
600G398334MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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