| Mr Ray S Kusumoto, PA | |
|
890 Sunset Dr, Suite A2, Hollister, CA 95023-5651 | |
| (831) 636-3116 | |
| (831) 636-1204 |
| Full Name | Mr Ray S Kusumoto |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 890 Sunset Dr, Hollister, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194850800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA13954 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ray S Kusumoto, PA 1760f Airline Hwy # 193, Hollister, CA 95023-5621 Ph: (831) 636-3116 | Mr Ray S Kusumoto, PA 890 Sunset Dr, Suite A2, Hollister, CA 95023-5651 Ph: (831) 636-3116 |
Jaidesh Reddick, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 551 Mccray St, Hollister, CA 95023 Phone: 831-634-4444 Fax: 831-634-4440 | |
Thomas H Zdimal, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 911 Sunset Dr, Hollister, CA 95023 Phone: 831-636-2640 | |
Susana Frasher, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 911 Sunset Dr, Hollister, CA 95023 Phone: 831-636-2640 | |
Nicole Ann Shelton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 930 Sunnyslope Rd Ste E3, Hollister, CA 95023 Phone: 831-630-1477 | |
Lori A Kraus, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 911 Sunset Dr, Hollister, CA 95023 Phone: 831-636-2664 Fax: 831-636-2641 | |
Philip Alan Gosvener, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 591 Mccray St Ste 101, Hollister, CA 95023 Phone: 831-634-4444 |