Active NPI
Kusha Davar, M.D. M.B.A. M.S.
- Infectious Disease Physician
- Los Angeles, CA
National Provider Identifier
1790172716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A161000
- Practice address
- 1200 N State St # C5E100
Los Angeles, CA 90089-1001 - Phone
- (323) 409-6645
- NPI assigned
- Apr 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A161000 | CA | Primary |
Addresses
Primary practice location
1200 N State St # C5E100
Los Angeles, CA 90089-1001
Mailing address
1200 N State St # C5E100
Los Angeles, CA 90089-1001
Phone (323) 409-6645
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210128000412 | CA | Order and Referring Only - Infectious Disease | 1658677133 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A161000 | CA | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1790172716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST # C5E100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891001",
"telephone_number": "323-409-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST # C5E100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891001",
"telephone_number": "323-409-6645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVAR",
"first_name": "KUSHA",
"credential": "M.D. M.B.A. M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-16",
"last_updated": "2024-04-30",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A161000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.