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MISS MAKI KUSUNAGA NP-C
NPI 1811240179
Nurse Practitioner - Adult Health in San Dimas, CA

Active since October 23, 2012PECOS Enrolled
400 W COVINA BLVD, SAN DIMAS, CA 91773(909) 592-6411(909) 971-5841 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Maki Kusunaga Np-c NPPES

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

MISS MAKI KUSUNAGA NP-C (NPI 1811240179) is an individual adult health provider in San Dimas, California, licensed in California (17529) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811240179
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMISS MAKI KUSUNAGACredential: NP-C
Location Address400 W COVINA BLVDSan Dimas, CA 91773-2954
Mailing Address400 W Covina BlvdSan Dimas, CA 91773-2954
Phone(909) 592-6411
Fax(909) 971-5841
Sole ProprietorNo
Enumeration DateOctober 23, 2012
✔ NPI 1811240179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 17529
400 W COVINA BLVD, San Dimas, CA 91773
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Maki Kusunaga Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91773 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. JOHN Y LOW M.D.
Internal Medicine
400 W COVINA BLVD, ADP MEDICAL DEPT
SAN DIMAS, CA 91773
Los Angeles County (909) 592-6411

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 Maki Kusunaga's NPI number?

The NPI number for Maki Kusunaga is 1811240179. It was assigned to this individual provider in the NPPES registry on October 23, 2012.

Where is Maki Kusunaga located?

Maki Kusunaga practices at 400 W Covina Blvd, San Dimas, CA 91773. The listed phone number is (909) 592-6411.

What is Maki Kusunaga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Maki Kusunaga enrolled in Medicare?

Yes. Maki Kusunaga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maki Kusunaga was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.