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Deactivated NPI 1346372398 Deactivated / Inactive NPI Male Practitioner

Dr. Clyde K Kitchen , MD

Ophthalmology • Fullerton, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Clyde Kitchen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 12, 2007
NPI Deactivation Date March 06, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Clyde Kitchen, MD was a registered Ophthalmology practicing in Fullerton, CA. Throughout an active medical career spanning 18 years, Dr. Kitchen provided care at the practice location at 1321 N HARBOR BLVD until profile deactivation on 2025-03-06.

Practice Location & Contact Primary Location

Practice Address

1321 N Harbor Blvd
Suite 300

Fullerton, CA 928354124

Telephone 7148790023
Fax 7145262020
Associated Practice Facility / Clinic
🏢 C. Jack Lee, D.m.d., Inc. Facility NPI 1851592950

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Fullerton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.1 Yrs
State Avg: 29.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Fullerton, CA (3116 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA C26481

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. J Berbos , MD

Ophthalmology

NPI 1467596114

Doctor of Medicine (M.D.)

Dr. Thao Vu , OD

Optometrist

NPI 1568513521

Doctor of Optometry

Dr. Omar Krad , MD

Ophthalmology

NPI 1669635132

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 06, 2025

Record deactivated on March 06, 2025

NPI Profile Active April 23, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 23, 2010

Registered at 1321 N HARBOR BLVD, SUITE 300, FULLERTON, CA 928354124 (Tel: 7148790023)

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Updated Business Mailing Address April 23, 2010

Registered at 1321 N HARBOR BLVD, SUITE 300, FULLERTON, CA 928354124 (Tel: 7148790023)

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Provider Name / Credentials Updated April 23, 2010

Recorded as CLYDE KITCHEN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2010

Ophthalmology (License #C26481 in CA)

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Initial NPI Registration & Enumeration March 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346372398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2007
Last Update: April 23, 2010
Deactivation Date: March 06, 2025

Mailing Address

1321 N Harbor Blvd, Suite 300

Fullerton, CA 928354124

Phone: 7148790023

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.