Active NPI
Kathryn Morris Gunnison, M.D., M.S.
- Addiction Medicine (Family Medicine) Physician
- San Jose, CA
National Provider Identifier
1750649471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- A124321
- Practice address
- 102 S 11TH St
San Jose, CA 95112-2132 - Phone
- (408) 495-9471
- Fax
- (408) 279-2841
- NPI assigned
- May 1, 2012
- Last updated
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | A124321 | CA | Primary |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | A124321 | CA |
Addresses
Primary practice location
102 S 11TH St
San Jose, CA 95112-2132
Mailing address
1530 The Alameda Ste 301
San Jose, CA 95126-2303
Phone (914) 374-2818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A124321 | CA | MD | Addiction Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1750649471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 THE ALAMEDA STE 301",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262303",
"telephone_number": "914-374-2818",
"fax_number": "408-982-5584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S 11TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951122132",
"telephone_number": "408-495-9471",
"fax_number": "408-279-2841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNISON",
"first_name": "KATHRYN",
"middle_name": "MORRIS",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "CA",
"license": "A124321",
"primary": true
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "CA",
"license": "A124321",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.