MR. RAY S. KUSUMOTO (NPI# 1194850800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194850800 |
| Entity Type | Individual |
| Full Name | MR. RAY S. KUSUMOTO |
| Credential | PA |
| Practice Address |
890 Sunset Dr Suite A2 Hollister CA 95023-5651 |
| Mailing Address |
1760f Airline Hwy # 193 Hollister CA 95023-5621 |
| Practice Telephone | 8316363116 |
| Practice Fax Number | 8316361204 |
| Mailing Telephone | 8316363116 |
| Mailing Fax Number | 8316361204 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA13954 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
890 SUNSET DR SUITE A2 |
| City | HOLLISTER |
| State | CA |
| Zip Code | 95023-5651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083600365 | Mcbride & Wittenberg, A Dental Corporation | Dentist | 890 Sunset Dr, Suite B-1a, Hollister, CA 95023-5651 | 2005-09-22 |
| 1912466053 | Dina Casparro, Dpm, Inc | Podiatrist | 890 Sunset Dr, Building D Suite 1b, Hollister, CA 95023-9502 | 2019-03-18 |
| 1932552650 | San Benito Family PC Inc | Point of Service | 890 Sunset Dr, B2, Hollister, CA 95023-5651 | 2016-07-18 |
| 1346600772 | Marie Julie Spencer | Nurse Practitioner | 890 Sunset Dr, Suite B2, Hollister, CA 95023-5651 | 2016-02-26 |
| 1043551609 | Amy Kathleen Bailey | Nurse Practitioner | 890 Sunset Dr, Suite B2, Hollister, CA 95023-5651 | 2013-03-07 |
| 1316234149 | Roderick Lee Mcbride | Dentist | 890 Sunset Dr, B-1a, Hollister, CA 95023-5651 | 2011-06-30 |
| 1265613988 | Larry Schow Masula | Chiropractor | 890 Sunset Dr, Ste D2c, Hollister, CA 95023-5664 | 2007-11-21 |
| 1528263589 | Mark Winkle Darnell | Dentist | 890 Sunset Dr, Suite D-1a, Hollister, CA 95023-5651 | 2007-06-19 |
| 1699983023 | Geralyn M Menold | Dentist | 890 Sunset Dr, Suite B-1b, Hollister, CA 95023-5651 | 2007-05-18 |
| 1881808509 | Nancy Bales | Marriage & Family Therapist | 890 Sunset Dr, Suite D2-b, Hollister, CA 95023-5651 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905535 | Vincent Matthew Howard | Registered Nurse | 3086 Palomino Way, Hollister, CA 95023 | 2020-06-08 |
| 1013430388 | Anita Mora | Counselor | 1850 San Benito St., Hollister, CA 95023 | 2017-07-19 |
| 1720517121 | Brendon Taguinod | Specialist/Technologist | 430 Union Heights, Hollister, CA 95023 | 2017-06-08 |
| 1629417670 | Dina Nicole Casparro | Podiatrist | 581 Mccray St Ste F, Hollister, CA 95023 | 2013-06-21 |
| 1881032944 | Ichhya Pathak-paudel | Dentist | 1210, 106 East Park St, Ste 106, Hollister, CA 95023 | 2013-06-11 |
| 1528363579 | Andrea Stone | Massage Therapist | 339 Seventh St, C, Hollister, CA 95023 | 2011-01-24 |
| 1427203165 | Beray Mirella Castillo | Case Manager/Care Coordinator | 351 Felice Drive, Hollistere, CA 95023 | 2008-11-21 |
| 1073669552 | Wennifred S Hsu Dds Inc | Dentist | 1760 Airline Highway, Suite G, Hollister, CA 95023 | 2007-01-26 |
| 1740349141 | Robert Francis Barry Jr. | Acupuncturist | 330 Tres Pinos Rd, Suite B25, Hollister, CA 95023 | 2006-12-08 |
| 1962501635 | Mohammad Aslam Barra | Obstetrics & Gynecology | 930 Sunnyslope Rd E 1, Hollister, CA 95023 | 2006-09-21 |
| Find all providers in zip 95023 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508837675 | Philip Alan Gosvener | Physician Assistant | 591 Mccray St Ste 101, Hollister, CA 95023-2224 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.