Physician Compare National (NPI:1568788917)

HEALTHCARE PROVIDER: KUSHAGRA VERMA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1568788917
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517279169
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150709002970
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VERMA
	Individual professional last name
Provider First Name	KUSHAGRA
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3851 KATELLA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 255
	Group Practice or individual's line 2 address
City	LOS ALAMITOS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	907203353
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050551
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LOS ALAMITOS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050485
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LONG BEACH MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y