Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | C337330 | CA |
N | 207RN0300X | Nephrologist | C337330 | CA |
Y | 207RP1001X | Pulmonary Disease | C337330 | CA |
NPI | 1013979525 |
---|---|
Provider Name | Dr. Richard A Nusser |
First Address | Oakland, CA 94609-3312 |
Second Address | Oakland, CA 94609-3312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 10/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C337330 | (05) | CA |
A35366 | (02) |