Individual provider Active NPI

Steve Michael Kuriyama, MD

  • Infectious Disease Physician
  • Vista, CA
National Provider Identifier
1962412981
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
G46547 Issued in CA
Practice address
122 Civic Center Dr
Suite 101
Vista, CA 92084-6040
Phone
(760) 806-9263
Fax
(760) 806-9264
NPI assigned
Aug 9, 2006
Last updated
Jan 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X G46547 CA Primary

Addresses

Primary practice location

122 Civic Center Dr
Suite 101
Vista, CA 92084-6040

Mailing address

122 Civic Center Dr
Suite 101
Vista, CA 92084-6040
Phone (760) 806-9263

Other identifiers 1

IdentifierTypeStateIssuer
00G46547MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000439 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 7113112145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of California, San Diego School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enlightened Healthcare Alliance Medical CorporationGroup PAC ID 6608115043, 11 clinicians

Practice addresses (Care Compare)

662 Encinitas Blvd
Suite 204
Encinitas, CA 92024-6789
Phone (833) 446-6363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G46547CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Enlightened Healthcare Alliance Medical Corporation CurrentSince Oct 1, 2024 Accepting new patients
Richard Colville Smith, M.D., Inc. Infectious Disease Past Accepting new patients
Premier Surgical Partners Inc PastSince Oct 1, 2024 Accepting new patients
Felisa Velesrubio MD, a Professional Corporation Infectious Disease Past Accepting new patients
Scripps Health Past Accepting new patients
Palomar Health Past Accepting new patients

Locations

354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251

662 Encinitas Blvd
Ste 204
Encinitas, CA 92024
Phone (760) 203-5545

662 Encinitas Blvd
Ste 220
Encinitas, CA 92024
Phone (760) 230-2251

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

Interoperability endpoints

  • Direct secure messaging: skuriyama28153@scrippshlth.medalliesdirect.net

Organizations & group practices 8

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1962412981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CIVIC CENTER DR",
            "address_2": "SUITE 101",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846040",
            "telephone_number": "760-806-9263",
            "fax_number": "760-806-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CIVIC CENTER DR",
            "address_2": "SUITE 101",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846040",
            "telephone_number": "760-806-9263",
            "fax_number": "760-806-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIYAMA",
        "first_name": "STEVE",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G46547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G46547",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.