Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Walter Takeshi Kusumoto, MDMPH

Individual provider Interventional Cardiology Physician · NPI 1619935079

Dr. Walter Takeshi Kusumoto, MDMPH is a Cardiac Electrophysiology in Chico, California. Graduated from Saint Louis University School of Medicine in 1995, 31 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Trained at
Saint Louis University School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1645 Esplanade Ste 3
Chico, CA 95926-3367
Phone: (530) 893-8806
Fax: (530) 893-8846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1145 Whiskeytown Ct Ste A, Redding, CA 96001-0227 — (530) 893-8806

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence A60788 (CA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence A60788 (CA)

Record details

NPI number1619935079
Entity typeIndividual (Type 1)
GenderMale
Credentials MDMPH
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chico