DR. KENNETH KAUSHANSKY


Address: 402 Dickinson St, Mail Code 8811 - Suite 380, San Diego, CA 92103-6902
Phone: 6195436170

DR. KENNETH KAUSHANSKY (NPI# 1609834803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609834803
Entity Type Individual
Full Name DR. KENNETH KAUSHANSKY
Credential M.D
Practice Address 402 Dickinson St
Mail Code 8811 - Suite 380
San Diego
CA 92103-6902
Mailing Address 336 Pine Needles Dr
Del Mar
CA 92014-3330
Practice Telephone 6195436170
Practice Fax Number 6195433931
Mailing Telephone 8587931479
Mailing Fax Number 6195433931
Enumeration Date 2006-05-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207R00000X Internal Medicine G86586 CA Allopathic & Osteopathic Physicians
X 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
G86586 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G865860 05

Office Location

Street Address 402 DICKINSON ST
MAIL CODE 8811 - SUITE 380
City SAN DIEGO
State CA
Zip Code 92103-6902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821594359 Anna Astashchanka Student in an Organized Health Care Education/Training Program 402 Dickinson St, San Diego, CA 92103-6902 2018-04-03
1528322393 Tyler Woodell Internal Medicine 402 Dickinson St, Suite 380, San Diego, CA 92103 2012-06-26
1518236272 Nas Rafi Emergency Medicine 402 Dickinson St, Mpf 3-371, San Diego, CA 92103-6902 2011-12-23
1215223474 Sterling Myles Dubin Internal Medicine 402 Dickinson St, Suite 380, San Diego, CA 92103 2011-06-24
1659661718 Kristina Coale Stillwell Student in an Organized Health Care Education/Training Program 402 Dickinson St, Mpf1-140, San Diego, CA 92103-6902 2011-04-11
1427352632 Susannah Graves Internal Medicine 402 Dickinson St, Department of Medicine, Suite 380, San Diego, CA 92103 2011-01-03
1407159726 Tiffany Nicole Tanaka Internal Medicine 402 Dickinson St, Suite 380, San Diego, CA 92103-6902 2010-12-08
1356667406 Ashmi Doshi Hospitalist 402 Dickinson St, Suite 380, San Diego, CA 92103-6902 2010-04-14
1104158104 Nicholas Penner Student in an Organized Health Care Education/Training Program 402 Dickinson St, Suite 380, San Diego, CA 92103-6902 2010-02-02
1083899397 Bahram Khadivi Internal Medicine 402 Dickinson St, Multipurpose Facility, Suite 380, San Diego, CA 92103-6902 2008-01-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1184233645 Svr Medical PC Internal Medicine 4440 Euclid Ave Ste E, San Diego, CA 92115-4522 2020-07-30
1023639176 Arthur Wong Internal Medicine 4222 Kansas St Unit 2, San Diego, CA 92104-1802 2020-04-29
1679102461 Santosh Vetticaden Internal Medicine 6420 Mesa Norte Dr, San Diego, CA 92130-6852 2020-04-03
1225664964 Andres Smith M.d. A Professional Medical Corporation Internal Medicine 6244 El Cajon Blvd Ste 29, San Diego, CA 92115-3918 2020-03-13
1154972388 Kimberly Hall Fernandez Internal Medicine 700 W E St Unit 2101, San Diego, CA 92101-5993 2019-09-29
1992289300 Sd Healthcare Solutions Internal Medicine 5943 Thorn St, San Diego, CA 92105-3916 2018-09-21
1992295331 Alera Inc Internal Medicine 2667 Camino Del Rio S Ste 307-6, San Diego, CA 92108 2018-05-11
1275020844 Lf Capital Inc Internal Medicine 438 Camino Del Rio S Ste 203, San Diego, CA 92108-3546 2018-04-18
1710401302 Ca Post Acute Specialists PC Internal Medicine 3525 Del Mar Heights Rd # 966, San Diego, CA 92130-2199 2017-07-26
1063933604 John Jackson Howard Internal Medicine 4616 Patricia Pl, San Diego, CA 92115-1934 2017-07-05
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Competitor

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City SAN DIEGO
Zip Code 92103

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Dataset Information

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.

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