Joseph M Kuderko, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G152916 Issued in CA

Practice address

20911 Earl St Ste 470
Torrance, CA 90503-4355

Phone

(310) 372-0700

Fax

(310) 372-0774

NPI assigned

Jan 25, 2006

Last updated

May 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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: jkuderko@sdavis.mdlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Steven E Davis MD Inc

  • Otolaryngology Physician
  • Torrance, CA
  • NPI 1710907571
  Medicare reassignment NPD
• Minneapolis Radiology Associates, LTD.

  • Diagnostic Radiology Physician
  • Robbinsdale, MN
  • NPI 1871594341
  NPD (past)
• Oakdale Ear, Nose & Throat Clinic, P.a.

  dba Minnesota ENT

  • Otolaryngology Physician
  • Golden Valley, MN
  • NPI 1598976326
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1770553364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3098",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103098",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 470",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034355",
            "telephone_number": "310-372-0700",
            "fax_number": "310-372-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDERKO",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G152916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atom Kubo
• Jeffrey Keiichi Kubo, DDS
• Kaley Kubokawa, OTR/L
• Joan Michiyo Kuboshige, FNP
• Robin Kucharik, FNP
• Akira Kugaya, M.D.
• Melissa Kulon
• Chelsea Kumabe, D.O.
• Dinesh M Kumar, M.D
• Ravin R. Kumar, M.D.

• Otolaryngology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.