Mr. Ray S. Kusumoto, PA
Mr. Ray S. Kusumoto, PA is a Physician Assistant in Hollister, California. Qualified in 1996, 30 years ago. Practices with Bass Medical Group, a 292-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 30
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
591 McCray St Ste 231Hollister, CA 95023-2224
Phone: (831) 636-3116
Fax: (831) 636-1204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 890 Sunset Dr, Hollister, CA 95023-5651 — (831) 636-3116
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA13954 (CA) |
|---|
Record details
| NPI number | 1194850800 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | February 22, 2007 |
| Last updated in NPPES | March 4, 2025 |
| Certification date | March 4, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Group practice | Bass Medical Group — 292 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Hollister
-
Philip Alan Gosvener, PA-C
591 McCray St Ste 101, Hollister, CA 95023-2224 · (831) 634-4444