Individual provider Active NPI

Kathryn Morris Gunnison, M.D., M.S.

  • Addiction Medicine (Family Medicine) Physician
  • San Jose, CA
National Provider Identifier
1750649471
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
A124321 Issued in CA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
A124321CAMDAddiction 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.

Verify at the official NPI Registry.