Active NPI
Mitchell Kushner, M.D.
- Infectious Disease Physician
- Monrovia, CA
National Provider Identifier
1437376258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- G44980
- Practice address
- 330 W Maple Ave
Monrovia, CA 91016-3332 - Phone
- (626) 256-1638
- Fax
- (626) 303-5738
- NPI assigned
- Apr 20, 2007
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | G44980 | CA | Primary |
Addresses
Primary practice location
330 W Maple Ave
Monrovia, CA 91016-3332
Mailing address
4317 E 6TH St
Long Beach, CA 90814-1706
Phone (626) 256-1638
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44980 | CA | MD | General Practice Dentistry |
| G44980 | CA | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437376258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 E 6TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908141706",
"telephone_number": "626-256-1638",
"fax_number": "626-303-5738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W MAPLE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163332",
"telephone_number": "626-256-1638",
"fax_number": "626-303-5738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSHNER",
"first_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "G44980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.