KEITH KUSUNIS MD
NPI 1033110945
Family Medicine in Pomona, CA

Active since August 02, 2005
1770 N ORANGE GROVE AVE STE 101, POMONA, CA 91767(909) 469-9494(909) 469-2120 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jul 14, 2022, Dec 30, 2021 (3 updates tracked since 2021).

About Keith Kusunis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH KUSUNIS MD (NPI 1033110945) is an individual family medicine provider in Pomona, California, licensed in California (G59736) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1033110945
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEITH KUSUNISCredential: MD
Location Address1770 N ORANGE GROVE AVE STE 101Pomona, CA 91767-3027
Mailing Address1770 N Orange Grove Ave, Sutie 101Pomona, CA 91767-3027 · (909) 469-9494 · Fax (909) 620-7285
Fax(909) 469-2120
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
NPI 1033110945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G59736
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1770 N ORANGE GROVE AVE STE 101, Pomona, CA 91767

Other Identifiers 1

Medicaid1033110945CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Family Medicine (Geriatric Medicine)
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Family Medicine (Hospice and Palliative Medicine)
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Student in an Organized Health Care Education/Training Program
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Family Medicine
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Family Medicine (Geriatric Medicine)
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Student in an Organized Health Care Education/Training Program
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767
Student in an Organized Health Care Education/Training Program
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 91767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Kusunis's NPI number?

The NPI number for Keith Kusunis is 1033110945. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Keith Kusunis located?

Keith Kusunis practices at 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767. The listed phone number is (909) 469-9494.

What is Keith Kusunis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Keith Kusunis was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.