Active NPI
Michael C Kushlan MD Inc
- Gastroenterology Physician
- San Jose, CA
National Provider Identifier
1376859231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- MICHAEL C KUSHLAN MD INC
- Practice address
- 2512 Samaritan CT Ste G
San Jose, CA 95124-4002 - Phone
- (408) 356-0468
- Fax
- (408) 356-4821
- NPI assigned
- Aug 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Charles Kushlan, M.D.
- Title
- President
- Phone
- (408) 356-0468
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
2512 Samaritan CT Ste G
San Jose, CA 95124-4002
Mailing address
2512 Samaritan CT Ste G
San Jose, CA 95124-4002
Phone (408) 356-0468
National Provider Directory
National Provider DirectoryLocations
2505 Samaritan Dr
Ste 502
San Jose, CA 95124
Phone (408) 356-0468
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Mountain View, CA
- NPI 1275682650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340409600000",
"number": "1376859231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 SAMARITAN CT STE G",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244002",
"telephone_number": "408-356-0468",
"fax_number": "408-356-4821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 SAMARITAN CT STE G",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244002",
"telephone_number": "408-356-0468",
"fax_number": "408-356-4821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL C KUSHLAN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-29",
"last_updated": "2012-06-23",
"status": "A",
"authorized_official_last_name": "KUSHLAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-356-0468",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Michael F. Killion M. D. a Medical Corporation
- Michael H Luu DMD Inc
- Michael J. Stepovich, DDS, Ms, Inc.
- Michael M Gold MD a Professional Medical Corporation
- Michael R. Nagel, M.D., Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.