Daniel Kudo, PHARMD APH

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

RPH029611 Issued in CA

Practice address

1404 N Laurel Ave
Upland, CA 91786-2765

Phone

(951) 317-0571

NPI assigned

May 31, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1093454902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 N LAUREL AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862765",
            "telephone_number": "951-317-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 N LAUREL AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862765",
            "telephone_number": "951-317-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDO",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD APH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CA",
            "license": "RPH029611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://static.practicefusion.com/",
            "affiliation": "N",
            "endpointDescription": "Web-based EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Web-based EHR",
            "address_1": "900 E Harrison Ave",
            "city": "Pomona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917672075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Steven Kratz
• Christa Danielle Krellwitz, NP-C
• Jeyashree Krishnan, DDS
• Elena Krishtal, PSYD
• Joshua Michael Kruse, M.A., M.A.
• Gail Kudo, RN
• Jason Niles Kukas, PMHNP-BC
• Sarina Kular, M.D.
• Daniel Masato Kunihira, DDS
• Mark Jeffrey Kunihira, D.D.S.

• Geriatric Pharmacist in Upland, CA
• Providers in Upland, CA by specialty
• Geriatric Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.