Keith Thomas Kusunis (NPI# 1033110945, PAC ID# 8022145820) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033110945 |
| PAC ID by PECOS | 8022145820 |
| Professional Enrollment ID | I20100428000157 |
| Full Name | Keith Thomas Kusunis |
| Organization Legal Name | PREMIER FAMILY MEDICINE ASSOCIATES, INC |
| Address |
1770 N Orange Grove Ave Suite 101 Pomona CA 91767-3027 |
| Phone Number | 9094699494 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284547522 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050231 | POMONA VALLEY HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 9094699494 | PREMIER FAMILY MEDICINE ASSOCIATES, INC |
| Organization Legal Name | PREMIER FAMILY MEDICINE ASSOCIATES, INC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohamed Yehia Abdelwahe Elsharkawy | Family Medicine | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Nicholle Amoreena Henley | Family Medicine | Premier Family Medicine Associates, Inc | 3110 Chino Ave, Suite 150b, Chino Hills, CA 91709-1295 |
| Roy A Guizado | Physician Assistant | Premier Family Medicine Associates, Inc | 1601 Monte Vista Ave, Suite 190, Claremont, CA 91711-6600 |
| Tiffany P Endo | Family Medicine | Premier Family Medicine Associates, Inc | 2333 Foothill Blvd, La Verne, CA 91750-3027 |
| Joelle M Arkfeld | Physician Assistant | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Snezana Begovic | Family Medicine | Premier Family Medicine Associates, Inc | 1601 Monte Vista Ave, Suite 190, Claremont, CA 91711-6600 |
| Naheed Hamid Momand | Family Medicine | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Evangeline L Obrero | Physician Assistant | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Brian E Tessier | Physician Assistant | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Victor Hugo Alvarez Casillas | Family Medicine | Premier Family Medicine Associates, Inc | 1601 Monte Vista Ave, Suite 100, Claremont, CA 91711-6601 |
| Street Address |
1770 N ORANGE GROVE AVE SUITE 101 |
| City | POMONA |
| State | CA |
| Zip | 91767-3027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Anthony Meyers | Family Medicine | Premier Family Medicine Associates, Inc | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 |
| Douglas Albert Chiriboga | Family Medicine | Premier Family Medicine Associates, Inc | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 |
| Darlene K Mcpherson-ventura | Nurse Practitioner | Premier Family Medicine Associates, Inc | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 |
| Maria Valadez | Family Medicine | Premier Family Medicine Associates, Inc | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 |
| Lynne Marie Diamond | Family Medicine | Premier Family Medicine Associates, Inc | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 |
| Charles Michael Cardenas | Family Medicine | Premier Family Medicine Associates, Inc | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 |
| Erik W Olsen | Family Medicine | Premier Family Medicine Associates, Inc | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 |
| Gisella V Olivares | Family Medicine | Premier Family Medicine Associates, Inc | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 |
| Alan Dioso Cabral | Family Medicine | Premier Family Medicine Associates, Inc | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 |
| Jamie Cooper | Physician Assistant | Premier Family Medicine Associates, Inc | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Barr | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 775 E Foothill Blvd, Pomona, CA 91767-1223 |
| Warren Gabrillo | Family Medicine | 219 E Foothill Blvd, Pomona, CA 91767-1403 | |
| Richard Veirs | Chiropractic | 355 E Foothill Blvd, Suite B, Pomona, CA 91767-1471 | |
| Jia Mao | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Wayne E Houpt Jr. | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Jennifer Lee | Clinical Social Worker | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Forrest Doan | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Seeyam Teimoori Nobandegani | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Susan M Bishop | Clinical Social Worker | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Patricia F Wallace-burke | Clinical Psychologist | Tricity Mental Health Center | 2008 N Garey Ave, Pomona, CA 91767-1639 |
| Find all physicians in zip 91767 | |||
| City | POMONA |
| Zip Code | 91767 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | POMONA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Keith Thomas Kusunis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.