Rachel Kurniadi, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

A41752 Issued in CA

Practice address

5030 Camino de la Siesta
Suite 208
San Diego, CA 92108-3116

Phone

(619) 260-6300

Fax

(858) 373-2447

NPI assigned

Oct 16, 2008

Last updated

Jan 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caos, a Medical Corporation

  • Clinic/Center
  • San Diego, CA
  • NPI 1184021800
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1063664472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA",
            "address_2": "SUITE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083116",
            "telephone_number": "619-260-6300",
            "fax_number": "858-373-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA",
            "address_2": "SUITE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083116",
            "telephone_number": "619-260-6300",
            "fax_number": "858-373-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURNIADI",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A41752",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A41752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole A Kuriki, PHARMD
• Michael Kurisu, D.O
• Wayne Owen Kurisu, M.D.
• Dana Elizabeth Kurland, M.S. CCC-SLP
• Natalie Elvita Kurniadi, PHD
• Soumya Lakshmi Kurnool, MD
• Momo Kurosaka, MD
• Brian Andrew Kurpiewski
• Howard A. Kurshenbaum, MD
• Alexandra Kursinskis, MD

• Geriatric Medicine (Family Medicine) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.