WALTER KWASS M.D. NPI 1972585008

NPI Information

NPI: 1972585008
Provider Name: WALTER KWASS, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
1500 SOUTHGATE AVE
DALY CITY, CA
ZIP 94015
Phone: (650) 991-6780
Get Directions

Walter Kwass, M.D. is a vascular surgery surgery in Daly City, CA with 62 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Walter Kwass, M.D. NPI is 1972585008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1962

The provider's business location address is:

1500 SOUTHGATE AVE
DALY CITY, CA
ZIP 94015-259
Phone: (650) 991-6780

The NPI 1972585008 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2005 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	016674	CONNECTICUT	No
2	2086S0129X	Surgery	Vascular Surgery	35851	MASSACHUSETTS	No
3	2086S0129X	Surgery	Vascular Surgery	89436	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2169801	MEDICAID	MASSACHUSETTS
2	001166743	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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