Russell Kerschmann, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A57159 Issued in CA

Practice address

967 Mabury Rd
San Jose, CA 95133-1025

Phone

(800) 288-8008

Fax

(408) 975-1030

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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 and National Provider Directory roles.

• Diagnostic Pathology Medical Group Inc

  • Specialist
  • Sacramento, CA
  • NPI 1588749162
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1073686572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 LAUREL WAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940620000",
            "telephone_number": "650-780-9346",
            "fax_number": "415-962-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 MABURY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331025",
            "telephone_number": "800-288-8008",
            "fax_number": "408-975-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSCHMANN",
        "first_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A57159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "G57159",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BJ422Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jay Kerner, PHD
• David L Kerns, MD
• Carolyn Cruz Kerr, MD
• Elizabeth Caitlin Kerrigan, MSW
• Kerry J. Besmehn and Loanne Rube PTR
• Shambhavi Kerur
• Ritwik Akshay Keshav
• Kathleen O'Shea Kesten, CFNP
• Randi J Kestler, M.D.
• Vanikaa Keswani, DO

• Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.