Miss Maki Kusunaga, NP-C - Medicare Nurse Practitioner in San Dimas, CA

Miss Maki Kusunaga, NP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in San Dimas, California. Her current practice location is 400 W Covina Blvd, San Dimas, California. You can reach out to her office (for appointments etc.) via phone at (909) 592-6411.

Miss Maki Kusunaga is licensed to practice in California (license number 17529) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811240179.

Contact Information

Miss Maki Kusunaga, NP-C
400 W Covina Blvd,
San Dimas, CA 91773-2954
(909) 592-6411
(909) 971-5841

Map and Direction




Provider's Profile

Full NameMiss Maki Kusunaga
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location400 W Covina Blvd, San Dimas, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811240179
  • Provider Enumeration Date: 10/23/2012
  • Last Update Date: 10/23/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0547677460
  • Enrollment ID: I20210322000100

Medical Identifiers

Medical identifiers for Miss Maki Kusunaga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811240179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 17529 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Maki Kusunaga is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Maki Kusunaga, NP-C
400 W Covina Blvd,
San Dimas, CA 91773-2954

Ph: () -
Miss Maki Kusunaga, NP-C
400 W Covina Blvd,
San Dimas, CA 91773-2954

Ph: (909) 592-6411

Reviews and Comments


Nurse Practitioner Nurses in San Dimas, CA

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Phone: 909-592-9246    Fax: 909-592-9248
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Phone: 626-963-7675    
Lana Madanat, MSN, RN, CPNP
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Phone: 909-599-6876    
Bassam Aziz, FNP-BC
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Medicare: Medicare Enrolled
Practice Location: 1350 W Covina Blvd, San Dimas, CA 91773
Phone: 310-592-7149    
Rachel Christensen,
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Practice Location: 667 W Arrow Hwy Ste E, San Dimas, CA 91773
Phone: 909-971-9888    
Ashley M Blayton, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1330 W Covina Blvd Ste 106, San Dimas, CA 91773
Phone: 909-599-6876    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.