Leonard Allen Kutnik, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A 22687 Issued in CA

Practice address

1835 Alcatraz Ave
Berkeley, CA 94703-2714

Phone

(510) 428-3472

Fax

(510) 450-5892

NPI assigned

Jul 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children First Medical Group, Inc.

  • Contractor
  • Berkeley, CA
  • NPI 1225114291
  Authorized official Same address or phone

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396776241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 CASTLE DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112734",
            "telephone_number": "510-530-2942",
            "fax_number": "510-450-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 ALCATRAZ AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032714",
            "telephone_number": "510-428-3472",
            "fax_number": "510-450-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTNIK",
        "first_name": "LEONARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A 22687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seymour L Kurtz, D.M.D.
• Vinod Kurupath, M.D.
• Nataliya M. Kushnir, M.D.
• Elizabeth Kusin
• Rosario Kusnir, MFT
• Florence Cynthia Kuyt, M.D.
• Rita Ophelia Kwan-Feinberg, M.D.
• Christina Kwan, MD
• Yuet Fong Szeto Kwan
• Pow Kwo-on-Yuen

• Pediatrics Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.