DR. ROBERT R KUTZNER (NPI# 1225300635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225300635 |
Entity Type | Individual |
Full Name | DR. ROBERT R KUTZNER |
Credential | M.D. |
Practice Address |
14591 Newport Ave Ste 100 Tustin CA 92780-6026 |
Mailing Address |
2549 Eastbluff Dr Newport Beach CA 92660-3500 |
Practice Telephone | 7144866866 |
Practice Fax Number | 9492948925 |
Mailing Telephone | 7144866866 |
Enumeration Date | 2012-01-31 |
Last Update Date | 2020-03-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
G52483 | CA | Allopathic & Osteopathic Physicians |
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G52483 | CA | Allopathic & Osteopathic Physicians |
N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
G52483 | CA | Allopathic & Osteopathic Physicians |
N | 208100000X | Physical Medicine & Rehabilitation | G52483 | CA | Allopathic & Osteopathic Physicians |
N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
G52483 | CA | Allopathic & Osteopathic Physicians |
N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
G52483 | CA | Allopathic & Osteopathic Physicians |
N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
G52483 | CA | Allopathic & Osteopathic Physicians |
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
G52483 | CA | Allopathic & Osteopathic Physicians |
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
G52483 | CA | Allopathic & Osteopathic Physicians |
N | 374K00000X | Religious Nonmedical Practitioner | G52483 | CA | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1518207596 | 05 |
Street Address |
14591 NEWPORT AVE STE 100 |
City | TUSTIN |
State | CA |
Zip Code | 92780-6026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
Find all providers in zip 92780 |
Taxonomy Code | 207LA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Addiction Medicine |
An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952910002 | Physician Anesthesiology Consultants | Anesthesiology | 1600 Rosecrans Ave Fl Center4, Manhattan Beach, CA 90266-3708 | 2020-07-24 |
1275777823 | Johnson First Care Inc | Anesthesiology | 1234 Frussel, #278, Los Angles, CA 90211-3577 | 2009-04-27 |
1598903783 | Dr Dorodny Inc | Anesthesiology | 30765 Pacific Coast Hwy, Suite 285, Malibu, CA 90265-3646 | 2009-01-27 |
1396958757 | Jack Friedman | Anesthesiology | 2625 W. Alameda Ave, Suite 514, Burbank, CA 91505-4806 | 2007-05-08 |
1689600041 | Joseph Angelo Cabaret | Anesthesiology | 601 E Daily Dr, Suite 228, Camarillo, CA 93010-5806 | 2006-06-25 |
1013954130 | Gregory Alan Smith | Anesthesiology | 5680 N Fresno St Ste 105, Fresno, CA 93710-8331 | 2006-05-31 |
1386173698 | Susan T Koo | Anesthesiology | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2017-06-08 |
1376071282 | Pacific United Anesthesia and Critical Care Associates | Anesthesiology | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2017-05-23 |
1821533696 | South County Addiction Treatment Services, Inc. | Anesthesiology | 148 W Avenida San Antonio, San Clemente, CA 92672-4354 | 2017-01-03 |
1528513140 | Malcolm John Wehrle Md, A Professional Corporation | Anesthesiology | 1111 S Arroyo Pkwy, Pasadena, CA 91105-3254 | 2016-08-24 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.