Active NPI
Kunal Doshi, MD
- Addiction Medicine (Preventive Medicine) Physician
- San Bernardino, CA
National Provider Identifier
1114594777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- A194845
- Practice address
- 303 E Vanderbilt Way
San Bernardino, CA 92415-3156 - Phone
- (888) 743-1478
- NPI assigned
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | A194845 | CA | Primary |
Addresses
Primary practice location
303 E Vanderbilt Way
San Bernardino, CA 92415-3156
Mailing address
1800 Lacassie Ave Apt 414
Walnut Creek, CA 94596-1040
Other practice location 1
2500 Alhambra Ave
Martinez, CA 94553-3156
Phone (925) 370-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A194845 | CA | MD | Addiction Medicine (Preventive Medicine) Physician |
Interoperability endpoints
- kdoshi1191968@direct.llu.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1114594777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 LACASSIE AVE APT 414",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945961040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E VANDERBILT WAY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924153156",
"telephone_number": "888-743-1478"
}
],
"practiceLocations": [
{
"address_1": "2500 Alhambra Ave",
"address_purpose": "LOCATION",
"city": "Martinez",
"state": "CA",
"postal_code": "945533156",
"country_code": "US",
"telephone_number": "925-370-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOSHI",
"first_name": "KUNAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-10",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "CA",
"license": "A194845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.