Sanjay Kumar

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2500 Fairmont Dr
San Leandro, CA 94578-1005

Phone

(510) 667-4493

NPI assigned

Oct 31, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1013730852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 DEL MONTE LN",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950373541",
            "telephone_number": "510-667-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FAIRMONT DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781005",
            "telephone_number": "510-667-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SANJAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kehinde Kujichagulia-Seitu
• Lauren Kulliver, MFT
• Kathleen Kerry Jane Kulstad-Thomas
• Kenneth Satoshi Kumamoto, MD
• Nandan P Kumar, MD
• Vanisha Vandhana Kumar, ASW
• Makenna Kummer
• Mei PO Kung, M.D.
• Richard C. Kuno, MD
• James W. Kurkjian, PH.D.

• Community Health Worker in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.