Active NPI
Kusum Sinha
- Pharmacist
- San Pablo, CA
National Provider Identifier
1770865271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH63822
- Practice address
- 14280 San Pablo Ave
San Pablo, CA 94806-3328 - Phone
- (510) 730-7000
- NPI assigned
- Sep 12, 2011
- Last updated
- Sep 12, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP444231 | PA | |
| Pharmacist | 183500000X | RPH63822 | CA | Primary |
Addresses
Primary practice location
14280 San Pablo Ave
San Pablo, CA 94806-3328
Mailing address
4208 Astor Hollow St
San Ramon, CA 94582-4877
Phone (415) 259-4275
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH63822 | CA | MD | Pharmacist |
| RP444231 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1770865271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4208 ASTOR HOLLOW ST",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945824877",
"telephone_number": "415-259-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14280 SAN PABLO AVE",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063328",
"telephone_number": "510-730-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINHA",
"first_name": "KUSUM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP444231",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH63822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.