Ellen Laura Rose Cusano

Primary specialty

Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X

License

A194088 Issued in CA

Practice address

9333 Genesee Ave Ste 310
San Diego, CA 92121-2103

Phone

(858) 657-6028

Fax

(858) 249-2519

NPI assigned

Feb 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1295599447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR # 0829",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 GENESEE AVE STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212103",
            "telephone_number": "858-657-6028",
            "fax_number": "858-249-2519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr # 0829",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921031911",
            "country_code": "US",
            "telephone_number": "858-657-5281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSANO",
        "first_name": "ELLEN",
        "middle_name": "LAURA ROSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "A194088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shameka L. Curtis
• Zane A Curtis
• Anne Cusack, PSYD
• Claire Cusack
• Kyle Jorel Cusack
• Merta Cushing, PHARMD
• Cara Celina Cusi
• Alison Cusmano, FNP
• Matthew John Cusolito
• Peter Hodson Custis, MD

• Hematology (Internal Medicine) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Hematology (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.