Active NPI
Christopher T Kuzniewski, M.D
- Diagnostic Radiology Physician
- San Diego, CA
National Provider Identifier
1821074329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101255614
- Practice address
- Comnavairfor
Box 357051 Nas Ni
San Diego, CA 92135-7051 - Phone
- (619) 545-1148
- Fax
- (619) 767-7417
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 047791 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 0101255614 | VA | Primary |
Addresses
Primary practice location
Comnavairfor
Box 357051 Nas Ni
San Diego, CA 92135-7051
Mailing address
3605 Fireway Dr
San Diego, CA 92111-4737
Phone (619) 545-1148
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047791 | GA | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1821074329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 FIREWAY DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921114737",
"telephone_number": "619-545-1148",
"fax_number": "619-767-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMNAVAIRFOR",
"address_2": "BOX 357051 NAS NI",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921357051",
"telephone_number": "619-545-1148",
"fax_number": "619-767-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUZNIEWSKI",
"first_name": "CHRISTOPHER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "GA",
"license": "047791",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101255614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.