Organization Active NPI

Tanja L. Kujac, MD Inc

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Walnut Creek, CA
National Provider Identifier
1477832277
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
A063451 Issued in CA
Legal business name
TANJA L. KUJAC, MD INC
Practice address
710 South Broadway
Ste 110
Walnut Creek, CA 94596
Phone
(925) 256-6583
Fax
(925) 256-6583
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Tanya Lynne Kujac, MD
Title
Ceo/Medical Director
Phone
(925) 256-6583

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081H0002X A063451 CA Primary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081N0008X A063451 CA

Addresses

Primary practice location

710 South Broadway
Ste 110
Walnut Creek, CA 94596

Mailing address

PO Box #183
3000 F Danville Blvd
Alamo, CA 94507
Phone (925) 256-6583

National Provider Directory

National Provider Directory

Locations

3000 Danville Blvd
Ste F
Alamo, CA 94507
Phone (831) 515-8081

3000 Danville Blvd
#183F
Alamo, CA 94507

1220 Rossmoor Pkwy
Ste 4
Walnut Creek, CA 94595
Phone (925) 820-4230

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1477832277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX #183",
            "address_2": "3000 F DANVILLE BLVD",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "94507",
            "telephone_number": "925-256-6583",
            "fax_number": "925-256-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SOUTH BROADWAY",
            "address_2": "STE 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-256-6583",
            "fax_number": "925-256-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANJA L. KUJAC, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "KUJAC",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "925-256-6583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A063451",
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "CA",
            "license": "A063451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.