Active NPIIndividual providerSole proprietor

Walter Kwass, MD

Healthcare Provider in Daly City, California

NPI Number1972585008
Practice location
1500 Southgate Ave, Daly City, CA 94015-2259
Fax
—
Last updated
March 17, 2018

Walter Kwass is a Healthcare Provider based in Daly City, CA. Walter Kwass practices in Daly City, CA and has the professional credentials of MD. The NPI Number for Walter Kwass is 1972585008 and holds a License No. 016674 (CT). The current practice location address for Walter Kwass is 1500 Southgate Ave, Daly City, CA 94015-2259 and can be reached out via phone at 650-991-6780.

Provider Profile Details

NPI Number
1972585008
Provider Name
Walter Kwass
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 Southgate Ave, Daly City, CA 94015-2259
Phone Number
650-991-6780
Primary Taxonomy
Healthcare Provider · 2086S0129X
Sole Proprietor
Yes
Provider Enumeration Date
November 15, 2005
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1500 Southgate Ave
Daly City, CA 94015-2259
Zip
94015-2259
Phone Number
650-991-6780
Daly City, CA 94015Get directions →

Provider Business Mailing Address Details

Address
1580 Laurel St
San Carlos, CA 94070-5157
City
San Carlos
State
CA
Zip
94070-5157
Phone Number
650-394-4492

License Information

License Number (1)
016674
License State (1)
CT
Taxonomy (1)
· 2086S0129X
License Number (2)
35851
License State (2)
MA
Taxonomy (2)
· 2086S0129X
License Number (3)
89436
License State (3)
CA
Taxonomy (3)
· 2086S0129X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Walter Kwass, MD?

The NPI number of Walter Kwass, MD is 1972585008. It was assigned on November 15, 2005 and is currently active in the NPPES registry.

What is the specialty of Walter Kwass, MD?

Walter Kwass, MD is registered under the primary taxonomy Healthcare Provider (code 2086S0129X), licensed in CT under license number 016674.

Where does Walter Kwass, MD practice?

The practice location is 1500 Southgate Ave, Daly City, CA 94015-2259. The office can be reached at 650-991-6780 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972585008 directly on the NPPES registry website.

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