KEITH KUSUNIS (NPI# 1033110945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033110945 |
Entity Type | Individual |
Full Name | KEITH KUSUNIS |
Credential | MD |
Practice Address |
1770 N Orange Grove Ave 101 Pomona CA 91767-3027 |
Mailing Address |
1770 N Orange Grove Ave Sutie 101 Pomona CA 91767-3027 |
Practice Telephone | 9094699494 |
Practice Fax Number | 9096207285 |
Mailing Telephone | 9094699494 |
Mailing Fax Number | 9096207285 |
Enumeration Date | 2005-08-02 |
Last Update Date | 2014-06-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | G59736 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA # | AK2329022 | 01 |
Street Address |
1770 N ORANGE GROVE AVE 101 |
City | POMONA |
State | CA |
Zip Code | 91767-3027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912907114 | Premier Family Medicine Associates, Inc | Family Medicine | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2005-07-28 |
1003443649 | Kim Hoang Vu | Student in an Organized Health Care Education/Training Program | 1770 N Orange Grove Ave, Pomona, CA 91767-3027 | 2020-03-24 |
1043847627 | Millie Mae Hathaway | Student in an Organized Health Care Education/Training Program | 1770 N Orange Grove Ave, Pomona, CA 91767-3027 | 2020-03-24 |
1841725900 | Jiao Xue | Family Medicine | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2017-04-26 |
1396276085 | Sarah Janelle Hernandez | Student in an Organized Health Care Education/Training Program | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2017-03-23 |
1275989964 | Wilbert Perez Velez | Family Medicine | 1770 N Orange Grove Ave, 101, Pomona, CA 91767-3027 | 2016-05-11 |
1124474812 | Feven Wolday | Family Medicine | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2016-05-11 |
1295197473 | Henry Lam Tran | Student in an Organized Health Care Education/Training Program | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2016-03-25 |
1548640899 | Jennifer Luong | Family Medicine | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767 | 2015-06-02 |
1275911315 | Ameerah Shaban | Student in an Organized Health Care Education/Training Program | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2015-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
Find all providers in zip 91767 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902436827 | Vladimir Zev Zelenko Md PC. | Family Medicine | 1540 Route 202 Ste 7, Pomona, NY 10970-2922 | 2020-01-20 |
1720514185 | Irene Riley Sung | Family Medicine | 1770 N Orange Grove Ave Ste 201, Pomona, CA 91767-3027 | 2017-05-04 |
1205210531 | Emelia Oduro Jeffrey | Family Medicine | 1532 San Bernardino Ave Ste A2, Pomona, CA 91767-3559 | 2015-07-16 |
1689057960 | David Picella Phd Inc | Family Medicine | 1617 N Garey Ave, Pomona, CA 91767 | 2015-07-03 |
1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
1699119511 | Danica Kari Lomeli | Family Medicine | 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 | 2013-04-22 |
1073814760 | Felix Lin | Family Medicine | 8 Village Loop Rd Ste D, Pmb 117, Pomona, CA 91766-4870 | 2010-11-11 |
1205017035 | Tuan Dai Le, M.d, A Professional Corporation | Family Medicine | 1151 E Holt Ave, Suite Q, Pomona, CA 91767-5813 | 2007-11-20 |
1023297934 | Katty Chou | Family Medicine | 3801 W Temple Ave Bldg 46, Pomona, CA 91768-2557 | 2007-10-26 |
1013114420 | Wilbert Timothy Tsai | Family Medicine | 1900 Royalty Dr Ste 250, Pomona, CA 91767-3043 | 2007-06-29 |
Find all providers in POMONA |
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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.