Active NPI
Farand Kusnadi, DC
- Chiropractor
- Costa Mesa, CA
National Provider Identifier
1326464850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC32009
- Practice address
- 230 E 17TH St
Suite 202
Costa Mesa, CA 92627-3824 - Phone
- (949) 999-0777
- Fax
- (949) 999-0784
- NPI assigned
- Mar 7, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC32009 | CA | Primary |
Addresses
Primary practice location
230 E 17TH St
Suite 202
Costa Mesa, CA 92627-3824
Mailing address
230 E 17TH St
Suite 202
Costa Mesa, CA 92627-3824
Phone (949) 999-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC 32009 | Other | CA | DC LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC32009 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farand Kusnadi Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Claudio M. Carvalho, D.O, a Professional Medical Corporation | Past | Accepting new patients |
Locations
3151 Airway Ave
Ste K103
Costa Mesa, CA 92626
Phone (714) 540-1710
Organizations & group practices 2
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.
-
- Chiropractor
- Costa Mesa, CA
- NPI 1932070695
-
- Physical Medicine & Rehabilitation Physician
- Costa Mesa, CA
- NPI 1376712273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1326464850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E 17TH ST",
"address_2": "SUITE 202",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273824",
"telephone_number": "949-999-0777",
"fax_number": "949-999-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E 17TH ST",
"address_2": "SUITE 202",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273824",
"telephone_number": "949-999-0777",
"fax_number": "949-999-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSNADI",
"first_name": "FARAND",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-07",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC32009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC LICENSE",
"identifier": "DC 32009",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.