Kusum Rudrappa, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A37070 Issued in CA

Practice address

421 E Angeleno Ave
Ste: 206B
Burbank, CA 91501-2286

Phone

(310) 984-6949

Fax

(310) 984-6949

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kusumrudrappa@hcpca.allscriptsdirect.net

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.

• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1750308235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 REDWOOD AVE",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926427",
            "telephone_number": "213-577-1119",
            "fax_number": "213-577-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E ANGELENO AVE",
            "address_2": "STE: 206B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012286",
            "telephone_number": "310-984-6949",
            "fax_number": "310-984-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDRAPPA",
        "first_name": "KUSUM",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A37070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ani Rshtouni-Boyadzhyan
• Don Mathya Rubinstein, PH.D.
• Silvia Eleonora Rubio-Dwiggins
• Mariam Rubyan
• Kortez Rudolph
• Jensen Ruel
• Valeria Anastasia Ruelas
• Olga Ruiz Alvarado
• Alexis Ruiz
• Elizabeth Ruiz

• General Practice Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.