Individual provider Active NPI

Jennifer Kushnier, PA-C

  • Physician Assistant
  • Danville, CA
National Provider Identifier
1437518909
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53186 Issued in CA
Practice address
600 San Ramon Valley Blvd
Suite 102
Danville, CA 94526-4021
Phone
(925) 385-8980
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53186 CA Primary

Addresses

Primary practice location

600 San Ramon Valley Blvd
Suite 102
Danville, CA 94526-4021

Mailing address

600 San Ramon Valley Blvd
Suite 102
Danville, CA 94526-4021

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160318001399 CA Practitioner - Physician Assistant 5496052458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jerome R Potozkin MD, a Professional CorporationGroup PAC ID 4981893146, 7 clinicians

Practice addresses (Care Compare)

600 San Ramon Valley Blvd
Danville, CA 94526-4021
Phone (925) 838-4900

Merit-based Incentive Payment System (MIPS)

Final score
92.01 of 100Reported as group
Quality
93.81
Improvement activities
40
Cost
81.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53186CAMDDentist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1437518909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 102",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 102",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264021",
            "telephone_number": "925-385-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNIER",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.