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

Individual provider Orthopaedic Surgery Physician · NPI 1396185161

Nicholas Kusnezov, MD is an Orthopedic Surgery in San Diego, California. Graduated from University of California, Geffen School of Medicine in 2013, 13 years ago. Practices with Yuma Regional Medical Center, a 372-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, California, Illinois and Kentucky.

Years since qualifying
13
Trained at
University of California, Geffen School of Medicine
Licensed in
AZ, CA, IL, KY
In the registry since
2013
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5643 Copley Dr Ste 300
San Diego, CA 92111-7903
Phone: (858) 455-9942
Fax: (858) 455-6473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2460 S Parkview Loop Ste 3, Yuma, AZ 85364-5357 — (928) 336-7846
  • 230 Prospect Pl Ste 230, Coronado, CA 92118-1976 — (858) 455-9942

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A155908 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 036147531 (IL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 51891 (KY)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 58084 (AZ)

Record details

NPI number1396185161
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2013
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Yuma Regional Medical Center — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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