KANATHAN LLC NPI 1780077867

NPI Record

The following NPI record includes the field values provided by the NPPES as well as the field definition as published in the Federal Register. The complete NPI record is also available for download in text, csv and xml formats.

Field Name Field Value Definition 1
NPI 1780077867 The last name of the provider. If the provider is an individual, this is the legal name.
Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN The telephone number associated with the location address of the provider being identified.
Provider Organization Name Legal Business Name KANATHAN LLC The telephone number associated with the location address of the provider being identified.
Provider Other Organization Name 3N MEDSTAFF The date that a record was last updated or changed.
Provider Other Organization Name Type Code 3 The date the provider was assigned a unique identifier (assigned an NPI).
Provider First Line Business Practice Location Address 4450 SAINT ANDREWS DR The middle name of the provider, if the provider is an individual.
Provider Business Practice Location Address City Name STOCKTON The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address State Name CA The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code 952191887 The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 2094051374 The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number 2098085239 The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 3/12/2015 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Last Update Date 3/12/2015 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Authorized Official Last Name CADACIO A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Authorized Official First Name NATHAN The State code in the location of the provider being identified.
Authorized Official Title or Position PRESIDENT The title or position of the authorized official.
Authorized Official Telephone Number 7575155575 The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1 251E00000X The last name of the provider. If the provider is an individual, this is the legal name.
Provider License Number 1 1500119404 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 1 CA The middle name of the provider, if the provider is an individual.
Healthcare Provider Primary Taxonomy Switch 1 Y Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Organization Subpart N The code designating the provider's gender if the provider is a person.
Authorized Official Name Prefix Text MR. The country code in the location address of the provider being identified.

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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