Organization Active NPI

Kusum Stokes MD a Medical Corporation

  • Specialist
  • Eureka, CA
National Provider Identifier
1215246954
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A34267 Issued in CA
Legal business name
KUSUM STOKES MD A MEDICAL CORPORATION
Practice address
3200 Walford Ave
Eureka, CA 95503-4828
Phone
(707) 443-4869
Fax
(707) 442-5095
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Mrs. Kusum G Stokes, M.D.
Title
Owner
Phone
(707) 443-4869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A34267 CA Primary

Addresses

Primary practice location

3200 Walford Ave
Eureka, CA 95503-4828

Mailing address

PO Box 6630
Eureka, CA 95502-6630
Phone (707) 443-4869

National Provider Directory

National Provider Directory

Locations

2607 Harris St
Ste B
Eureka, CA 95503
Phone (707) 442-4869

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1215246954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6630",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955026630",
            "telephone_number": "707-443-4869",
            "fax_number": "707-442-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WALFORD AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034828",
            "telephone_number": "707-443-4869",
            "fax_number": "707-442-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSUM STOKES MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "KUSUM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-443-4869",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A34267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.