Active NPI
Sairam Kumar
- Developmental - Behavioral Pediatrics Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- A155499
- Practice address
- 4650 W Sunset Blvd # 53
Los Angeles, CA 90027 - Phone
- (323) 361-3849
- NPI assigned
- Aug 4, 2015
- Last updated
- Aug 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | A155499 | CA | Primary |
Addresses
Primary practice location
4650 W Sunset Blvd # 53
Los Angeles, CA 90027
Mailing address
4650 W Sunset Blvd # 53
Los Angeles, CA 90027-6062
Other practice location 1
1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone (718) 240-5893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A155499 | CA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles Developmental Behavioral Pediatric Services, LLC | Current | Accepting new patients | |
| Children's Hospital Los Angeles Medical Group, Inc. | Current | Accepting new patients | |
| Los Angeles Developmental Behavioral Pediatric Medical Group, P.C. | Developmental - Behavioral Pediatrics | Current | Accepting new patients |
| Childrens Hospital of Los Angeles | Past | Accepting new patients | |
| Chla Teaching Clinics LLC | Past | Accepting new patients |
Locations
3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2450
4650 W Sunset Blvd
#53
Los Angeles, CA 90027
Phone (323) 361-2350
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
-
- Developmental - Behavioral Pediatrics Physician
- North Hollywood, CA
- NPI 1912836420
-
- Behavior Analyst
- North Hollywood, CA
- NPI 1003745530
-
- Children's Hospital
- Los Angeles, CA
- NPI 1124073366
-
- Multi-Specialty Clinic/Center
- Arcadia, CA
- NPI 1669992152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1063898831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD # 53",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD # 53",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90027",
"telephone_number": "323-361-3849"
}
],
"practiceLocations": [
{
"address_1": "1 Brookdale Plz",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112123139",
"country_code": "US",
"telephone_number": "718-240-5893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUMAR",
"first_name": "SAIRAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-04",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CA",
"license": "A155499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.