WALTER KWASS (NPI# 1972585008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972585008 |
| Entity Type | Individual |
| Full Name | WALTER KWASS |
| Credential | M.D. |
| Practice Address |
1500 Southgate Ave Daly City CA 94015-2259 |
| Mailing Address |
1580 Laurel St San Carlos CA 94070-5157 |
| Practice Telephone | 6509916780 |
| Mailing Telephone | 6503944492 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
89436 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
35851 | MA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
016674 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001166743 | 05 | |
| MA | 2169801 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 140 Lincoln Ave, Haverhill, MA 018306700 | 9784201405 | 9784201410 |
| Street Address |
1500 SOUTHGATE AVE |
| City | DALY CITY |
| State | CA |
| Zip Code | 94015-2259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922099415 | Dennis Larry Hamby | Specialist | 1500 Southgate Ave, Suite 201, Daly City, CA 94015-2259 | 2005-11-02 |
| 1467607432 | Jeff Gee Md Inc | Internal Medicine | 1500 Southgate Ave, Suite 102, Daly City, CA 94015-2205 | 2008-11-18 |
| 1659520583 | Richard Moskowitz Md Inc | Internal Medicine | 1500 Southgate Ave, Suite 102, Daly City, CA 94015-2259 | 2008-09-16 |
| 1376720078 | Edward Sun M.d., Inc. | Orthopaedic Surgery | 1500 Southgate Ave, Suite 115, Daly City, CA 94015-2259 | 2008-01-24 |
| 1609061324 | Dennis L. Hamby, Md | Internal Medicine | 1500 Southgate Ave, 201, Daly City, CA 94015-2259 | 2007-09-06 |
| 1306036512 | Mahasti Saghizadeh | Dentist | 1500 Southgate Ave, 208, Daly City, CA 94015-2259 | 2007-07-25 |
| 1730399858 | Andrea Christine Sello | Pediatrics | 1500 Southgate Ave, Daly City, CA 94015-2259 | 2007-05-23 |
| 1639214513 | John Lai and Kevin Wong, Medical Corporation | Internal Medicine | 1500 Southgate Ave, Ste. 207, Daly City, CA 94015-2259 | 2007-02-20 |
| 1295881860 | Pacific Cardiovascular Surgeons A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 Southgate Ave, Suite 209, Daly City, CA 94015-2259 | 2007-01-26 |
| 1720130412 | St. Elizabeth Ann Seton New Life Center | Clinic/Center | 1500 Southgate Ave, Suite 112, Daly City, CA 94015-2259 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235901 | Fast Express Ride Inc | Non-emergency Medical Transport (VAN) | 381 Westlake Ctr # 292, Daly City, CA 94015 | 2019-09-30 |
| 1598231888 | National Vision Inc | Technician/Technologist | 148a Serramonte Center, Daly City, CA 94015 | 2018-10-15 |
| 1174017313 | Glaiza Cecilia S Canares | Student in an Organized Health Care Education/Training Program | 255 Dennis Drive, Daly City, CA 94015 | 2018-06-20 |
| 1154869477 | Noah Bautista | Massage Therapist | 151 87th St Suite 4, Daly City, CA 94015 | 2017-02-07 |
| 1417387291 | Accuquest Hearing Centers | Clinic/Center | 10 Park Plaza Dr., Daly City, CA 94015 | 2013-11-15 |
| 1801193800 | Carol Crane | Physical Therapy Assistant | 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 | 2011-02-28 |
| 1366753808 | Emerito Cesar C Nunag | Physical Therapy Assistant | 595 Clarinada Avenue #2, Daly City, CA 94015 | 2010-06-30 |
| 1356668016 | Lauren Rose Hendrick | Marriage & Family Therapist | 355 Gellert Blvd Suite 280, Daly City, CA 94015 | 2010-04-21 |
| 1205061868 | Isabel A. Walsh | General Practice | 783 Skyline Dr., Daly City, CA 94015 | 2009-05-26 |
| 1790933539 | Frank Geoffrey Yeh | Dentist | 1440 Southgate Ave., Daly City, CA 94015 | 2008-09-05 |
| Find all providers in zip 94015 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
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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.