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NPI Code Detail

MEDICARE: DR. JAMES ALAN CUSHING M.D., P.C.

MEDICARE: DR. JAMES ALAN CUSHING M.D., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianG68478ACA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184617060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES ALAN CUSHING M.D., P.C.
Provider Business Mailing Address
First Line : PO BOX 2773
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92690-0773
Country : US
Telephone Number : 949-365-2182
Fax Number : 949-305-3380
Provider Business Practice Location Address
First Line : 27700 MEDICAL CENTER RD
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-6426
Country : US
Telephone Number : 949-365-2182
Fax Number : 949-305-3380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 03/22/2017

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