Individual provider Active NPI

Daniel Eduardo Kusnir, M.D.

  • General Practice Physician
  • Hayward, CA
National Provider Identifier
1245354703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A45366 Issued in CA
Practice address
2560 Darwin St
Suite 1
Hayward, CA 94545-3451
Phone
(510) 887-0303
Fax
(510) 887-5703
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A45366 CA Primary

Addresses

Primary practice location

2560 Darwin St
Suite 1
Hayward, CA 94545-3451

Mailing address

1200 Lakeshore Ave
Apt. 18D
Oakland, CA 94606-1679
Phone (510) 524-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A45366CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245354703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LAKESHORE AVE",
            "address_2": "APT. 18D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061679",
            "telephone_number": "510-524-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 DARWIN ST",
            "address_2": "SUITE 1",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945453451",
            "telephone_number": "510-887-0303",
            "fax_number": "510-887-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSNIR",
        "first_name": "DANIEL",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A45366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.