Individual provider Active NPI

Toni Lynn Pusateri, M.D.

  • Psychiatry Physician
  • Kerman, CA
National Provider Identifier
1245356757
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A99220 Issued in CA
Practice address
275 S Madera Ave Ste 404
Kerman, CA 93630-1401
Phone
(844) 343-1057
Fax
(844) 587-6408
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A99220 CA Primary

Addresses

Primary practice location

275 S Madera Ave Ste 404
Kerman, CA 93630-1401

Mailing address

275 S Madera Ave Ste 404
Kerman, CA 93630-1401
Phone (855) 343-1057

Other practice location 1

1311 11th St
Reedley, CA 93654-2926
Phone (855) 343-1057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081205000518 CA Practitioner - Psychiatry 3375604556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
99220CAMDMarriage & Family Therapist
A99220CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Nov 1, 2015 Accepting new patients
Alameda Health System CurrentSince Nov 1, 2015 Accepting new patients
Turning Point of Central California, Inc. Past Accepting new patients
Turning Point of Central California, Inc. PastSince Jun 21, 2020 Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1245356757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S MADERA AVE STE 404",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301401",
            "telephone_number": "855-343-1057",
            "fax_number": "844-587-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MADERA AVE STE 404",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301401",
            "telephone_number": "844-343-1057",
            "fax_number": "844-587-6408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 11th St",
            "address_purpose": "LOCATION",
            "city": "Reedley",
            "state": "CA",
            "postal_code": "936542926",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "fax_number": "844-587-6408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUSATERI",
        "first_name": "TONI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A99220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerman, CA

Sources for this page

Verify at the official NPI Registry.