STEPHANIE M KUSSER N.P. NPI 1265671473

NPI Information

  • NPI: 1265671473
  • Provider Name: STEPHANIE M KUSSER, N.P.
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 1665 SCENIC AVE
    COSTA MESA, CA
    ZIP 92626
  • Phone: (310) 214-5722

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NPI Details

Stephanie M Kusser, N.P. is a gerontology nurse practitioner in Costa Mesa, CA. Stephanie M Kusser, N.P. NPI is 1265671473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1665 SCENIC AVE
COSTA MESA, CA
ZIP 92626-445
Phone: (310) 214-5722
Fax: (310) 793-3756

The enumeration date for this NPI number is 2/11/2009 and was last updated on 8/23/2019.

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
1163W00000XRegistered Nurse564744CALIFORNIANo
2363LG0600XNurse PractitionerGerontology18511CALIFORNIAYes

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
1G1108185OTHERCALIFORNIANP CERTIFICAITON
2564744OTHERCALIFORNIARN LICENSE
33054OTHERCALIFORNIACNS LICENSE

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: 11/21/2025

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