Suraj Raghuraj Kushvah

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40101 Issued in CA

Practice address

9840 Mira Lee Way Apt 20212
San Diego, CA 92126-4755

Phone

(248) 821-1325

NPI assigned

Aug 26, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Alliance Home Health-Inc

  • Home Health Agency
  • La Mesa, CA
  • NPI 1518719376
  NPD Authorized official
• Hylic Physical Therapy Apc

  • Physical Therapist
  • San Diego, CA
  • NPI 1821860693
  NPD Authorized official

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1710654710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 MIRA LEE WAY APT 20212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264755",
            "telephone_number": "248-821-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 MIRA LEE WAY APT 20212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264755",
            "telephone_number": "248-821-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHVAH",
        "first_name": "SURAJ",
        "middle_name": "RAGHURAJ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suraj@globalhealthone.com",
            "affiliation": "N",
            "address_1": "9840 Mira Lee Way Apt 20212",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921264755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Kurzawa, D.D.S.
• Emily Kurzrock
• Brandon Kusakabe, DPT
• Nicole Marie Kushch
• Matthew Y. Kushnir, M.D.
• Nicholas Kusnezov, M.D.
• Courtney Zimmerman Kutach, NP
• Kutner Therapy, an Individual & Family Counseling Corporation
• Kate Kutner, LMFT
• Fred Kutnick

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.