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

Jeffry Kuthan

Individual provider Registered Nurse · NPI 1205375052

Jeffry Kuthan is a Certified Registered Nurse Anesthetist (CRNA) in Richmond, California. Qualified in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

40 Marina Lakes Dr
Richmond, CA 94804-7448
Phone: (216) 870-7615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95000687 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 808932 (CA)

Record details

NPI number1205375052
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 13, 2017
Last updated in NPPESFebruary 11, 2022
Mailing address40 Marina Lakes Dr, Richmond, CA 94804-7448

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Richmond