KUSUM LATA


Address: 1801 E March Ln, #a-170, Stockton, CA 95210-6629
Phone: 2099519885

KUSUM LATA (NPI# 1477884161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477884161
Entity Type Individual
Full Name KUSUM LATA
Credential M.D
Practice Address 1801 E March Ln
#a-170
Stockton
CA 95210-6629
Mailing Address 600 Coffee Rd
Modesto
CA 95355-4201
Practice Telephone 2099519885
Mailing Telephone 2095216097
Enumeration Date 2010-01-20
Last Update Date 2016-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine A 110487 CA Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
A110487 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1801 E MARCH LN
#A-170
City STOCKTON
State CA
Zip Code 95210-6629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043215270 Ronald A Kass Internal Medicine 1801 E March Ln, Suite C300, Stockton, CA 95210-6629 2005-06-15
1700327525 Lakshmi Kulkarni Pharmacist 1801 E March Ln, Suite B280, Stockton, CA 95210-6629 2017-03-13
1811343734 Josebelo D. Chong, M.d. Inc. Internal Medicine 1801 E March Ln, Suite C300, Stockton, CA 95210-6629 2016-05-10
1093113631 Vijaysri Nannapaneni Pharmacist 1801 E March Ln, Suite B280, Stockton, CA 95210-6629 2014-12-15
1790107829 Barry K Wilson Md Inc Anesthesiology 1801 E March Ln, Suite 360, Stockton, CA 95210-6629 2014-01-08
1396007100 Jennifer Williams Internal Medicine 1801 E March Ln, Stockton, CA 95210 2012-06-08
1376815605 Zeiter Eye Medical Group Inc Oculafacial Plastic and Reconstructive Su Surgery 1801 E March Ln, Suite A160, Stockton, CA 95210-6629 2012-02-02
1790080182 James Lester Avery Physician Assistant 1801 E March Ln, D-460, Stockton, CA 95210-6629 2011-01-17
1023247079 Valley Kidney Clinic Inc Specialist 1801 E March Ln, Suite B265, Stockton, CA 95210-6629 2009-07-13
1316176035 Sanjeev K. Goswami, Md, Inc. Internal Medicine 1801 E March Ln, C 300, Stockton, CA 95210-6629 2009-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063021970 Leslie Jazmin Marin Student in an Organized Health Care Education/Training Program 7109 Danny Dr, Stockton, Stockton, CA 95210 2020-07-27
1043866692 Alexis Thomasson Behavior Technician 7109 Danny Drive, Stockton, CA 95210 2019-08-09
1821651324 Maria Guadalupe Toledo Lactation Consultant, Non-RN 7912 Hammer Lane, Stockton, CA 95210 2019-04-19
1508226440 Active Life Adult Day Care, Inc. Clinic/Center 7209 Tam O'shanter Dr., Stockton, CA 95210 2016-03-04
1548631260 Rachel Standley Substance Abuse Rehabilitation Facility 8017 El Cajon St, Stockton, CA 95210 2015-10-08
1225435308 Active Life Medical Produtcs Inc Durable Medical Equipment & Medical Supplies 611 W Grider Way, Stockton, CA 95210 2014-12-04
1942633318 Kimberly Ruiz Dizon Physician Assistant 1530 E Hammer Ln, Stockton, CA 95210 2013-08-20
1285920983 Supplemental Health Care Preferred Provider Organization 8425 Kiltie Wy, Stockton, CA 95210 2011-06-22
1770807901 Stockton Medical Weight Loss Center Inc Internal Medicine 1801 E. March Lane, Suite 400d, Stockton, CA 95210 2010-03-17
1699911412 Pratap Krishna Anne Pharmacist 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 2008-12-29
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376665703 M. Thabet Karabala, M.d., Inc. Internal Medicine 940 N Center St Ste A, Stockton, CA 95202-1326 2007-04-05
1649208463 Pacific Heart and Vascular Medical Group Internal Medicine 1801 E March Lane, Suite D400, Stockton, CA 95210-5667 2006-06-29
1609826288 M Thabet Karabala Internal Medicine 940 N Center St, Ste A, Stockton, CA 95202-1326 2006-05-12
1538783519 Brooke Nicole Fletcher Internal Medicine 2633 Pacific Ave, Stockton, CA 95204-4429 2020-06-04
1962715987 Muhammad W Choudhry Internal Medicine 2333 N California St, Stockton, CA 95204-5530 2010-07-19
1114157484 Manreet Basra Internal Medicine 1801 E March Ln Ste D400, Stockton, CA 95210-6675 2009-07-21
1700035334 Masanobu Kamigaki Internal Medicine 415 E Harding Way, Suite D, Stockton, CA 95204-6118 2008-09-18
1013030006 Delta Heart & Medical Clinic, Inc. Internal Medicine 1801 E March Ln, A-170, Stockton, CA 95210-6629 2007-04-06
1093832636 Amit Parekh Internal Medicine 7373 West Lane, Stockton, CA 95210 2007-03-26
1255481057 Salma A. Baber Internal Medicine 7373 West Ln, Stockton, CA 95210-3377 2007-01-12
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Competitor

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City STOCKTON
Zip Code 95210

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Dataset Information

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.

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