Individual provider Active NPI

Karey Kei Kusuhara, DDS

  • General Practice Dentistry
  • Northridge, CA
National Provider Identifier
1649374893
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DGO34810 Issued in CA
Practice address
18907 Nordhoff Street
Suite #46
Northridge, CA 91324-3796
Phone
(818) 772-7720
NPI assigned
Sep 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DGO34810 CA Primary

Addresses

Primary practice location

18907 Nordhoff Street
Suite #46
Northridge, CA 91324-3796

Mailing address

18907 Nordhoff St Ste 46
Northridge, CA 91324-3796
Phone (818) 772-7720

Other identifiers 1

IdentifierTypeStateIssuer
8034810OtherCADENTI-CAL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260430002013 CA Practitioner - Dentist 1355818055 Practice locations: Northridge, CA

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Loma Linda University School of Dentistry, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1150 Primrose Dr
Roswell, GA 30076-4217

1325 Bridge Mill Ave
Canton, GA 30114-7762

18907 Nordhoff St
Suite 46
Northridge, CA 91324-3796
Phone (818) 772-7720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DGO34810CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Karey Kusuhara DDS General Practice CurrentSince Dec 21, 2025 Accepting new patients

Locations

18907 Nordhoff St
Ste 46
Northridge, CA 91324
Phone (818) 772-7720

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": "1157760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1649374893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18907 NORDHOFF ST STE 46",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243796",
            "telephone_number": "818-772-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18907 NORDHOFF STREET",
            "address_2": "SUITE #46",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243796",
            "telephone_number": "818-772-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSUHARA",
        "first_name": "KAREY",
        "middle_name": "KEI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-09",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DGO34810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "8034810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.