Organization Active NPI

K.Sivakumar,M.D.,Inc

  • Primary Care Clinic/Center
  • Lancaster, CA
National Provider Identifier
1013108117
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A054211 Issued in CA
Legal business name
K.SIVAKUMAR,M.D.,INC
Practice address
44215 15TH St W
Suite # 307
Lancaster, CA 93534-4014
Phone
(661) 949-5908
Fax
(661) 949-5594
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kumarasamy Sivakumar, M.D.
Title
President
Phone
(661) 949-5908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A054211 CA Primary

Addresses

Primary practice location

44215 15TH St W
Suite # 307
Lancaster, CA 93534-4014

Mailing address

44215 15TH St W
Suite#307
Lancaster, CA 93534-4014
Phone (661) 949-5908

National Provider Directory

National Provider Directory

Locations

43723 20th St W
Ste 203
Lancaster, CA 93534
Phone (661) 941-4958

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1013108117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W",
            "address_2": "SUITE#307",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344014",
            "telephone_number": "661-949-5908",
            "fax_number": "661-949-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W",
            "address_2": "SUITE # 307",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344014",
            "telephone_number": "661-949-5908",
            "fax_number": "661-949-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.SIVAKUMAR,M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "SIVAKUMAR",
        "authorized_official_first_name": "KUMARASAMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-949-5908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A054211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.