Active NPI
Ilya Kulinsky, M.D.
- Neurology Physician
- Burlingame, CA
National Provider Identifier
1316039258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A52071
- Practice address
- 2945 Trousdale Dr
Burlingame, CA 94010-5708 - Phone
- (650) 692-5918
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A52071 | CA | Primary |
Addresses
Primary practice location
2945 Trousdale Dr
Burlingame, CA 94010-5708
Mailing address
2945 Trousdale Dr
Burlingame, CA 94010-5708
Phone (650) 692-5918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A520710 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52071 | CA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1316039258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2945 TROUSDALE DR",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940105708",
"telephone_number": "650-692-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 TROUSDALE DR",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940105708",
"telephone_number": "650-692-5918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULINSKY",
"first_name": "ILYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A52071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A520710",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.