Alexander Korsunsky, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A53584 Issued in CA

Practice address

5150 Graves Ave Ste 5B
San Jose, CA 95129-5005

Phone

(408) 517-0560

Fax

(408) 517-0814

NPI assigned

Jul 4, 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 1

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

Practice roles

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.

• El Camino Health Medical Network, LLC

  • Multi-Specialty Clinic/Center
  • San Jose, CA
  • NPI 1164880761
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427088236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 PINEWOOD DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292320",
            "telephone_number": "408-725-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 GRAVES AVE STE 5B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295005",
            "telephone_number": "408-517-0560",
            "fax_number": "408-517-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORSUNSKY",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A53584",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David H Korb, DDS
• Korean American Community Services
• Mark J. Korkowski, MD
• Diana Vallarta Koroi, LM, CPM
• Moses Koroma
• Jesse Korth, NP-C
• Gail Ann Korza, MHRS
• Christine Suzanne Koselak
• Diane Miye Koshimune, DPM
• Shane Michael Koss

• Internal Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.