William Green Cushard Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G19477 Issued in CA

Practice address

77 Scripps Dr
#200
Sacramento, CA 95825-6209

Phone

(916) 929-3381

Fax

(916) 641-2262

NPI assigned

Jan 23, 2006

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

Other identifiers 2

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

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1407826571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SCRIPPS DR",
            "address_2": "#200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256209",
            "telephone_number": "916-929-3381",
            "fax_number": "916-641-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SCRIPPS DR",
            "address_2": "#200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256209",
            "telephone_number": "916-929-3381",
            "fax_number": "916-641-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHARD",
        "first_name": "WILLIAM",
        "middle_name": "GREEN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G19477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G194770",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "460003612",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Curtis
• Taz Russell Curtis, O.D.
• Valerie Curtis
• Gulieta V Curtola, NP
• Chiloe Curtright
• David Cusic, MHAIII
• Nishareya Cusic
• Price David Cusolito
• Gavin Scott Cusson, PTA
• Alexis Nicole Custer

• Specialist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.