Individual provider Active NPI

Brian Noriyuki Kutsunai, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Glendale, CA
National Provider Identifier
1992826200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
G67734 Issued in CA
Practice address
604 S Glendale Ave
Glendale, CA 91205-2316
Phone
(818) 502-2050
Fax
(714) 694-0145
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X G67734 CA Primary

Addresses

Primary practice location

604 S Glendale Ave
Glendale, CA 91205-2316

Mailing address

604 S Glendale Ave
Glendale, CA 91205-2316
Phone (818) 502-2050

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G67734CAMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992826200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052316",
            "telephone_number": "818-502-2050",
            "fax_number": "714-694-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052316",
            "telephone_number": "818-502-2050",
            "fax_number": "714-694-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTSUNAI",
        "first_name": "BRIAN",
        "middle_name": "NORIYUKI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "G67734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.