Active NPI
Kumar Portable Xray
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Modesto, CA
National Provider Identifier
1093772444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- License
- RHF20122
- Legal business name
- KUMAR PORTABLE XRAY
- Practice address
- 3621 Glencrest Dr
Modesto, CA 95355-8431 - Phone
- (209) 575-4575
- Fax
- (209) 575-4598
- NPI assigned
- Apr 28, 2006
- Last updated
- May 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sant Kumar
- Title
- Mr
- Phone
- (209) 575-4575
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | RHF20122 | CA | Primary |
Addresses
Primary practice location
3621 Glencrest Dr
Modesto, CA 95355-8431
Mailing address
PO Box 4978
Modesto, CA 95352-4978
Phone (209) 575-4575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XR0599710 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
961 N Emerald Ave
Ste B
Modesto, CA 95351
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Technician
- Modesto, CA
- NPI 1306310164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558310400000",
"number": "1093772444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4978",
"city": "MODESTO",
"state": "CA",
"postal_code": "953524978",
"telephone_number": "209-575-4575",
"fax_number": "209-575-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 GLENCREST DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953558431",
"telephone_number": "209-575-4575",
"fax_number": "209-575-4598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KUMAR PORTABLE XRAY",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-28",
"last_updated": "2019-05-20",
"status": "A",
"authorized_official_last_name": "KUMAR",
"authorized_official_first_name": "SANT",
"authorized_official_title_or_position": "MR",
"authorized_official_telephone_number": "209-575-4575"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "CA",
"license": "RHF20122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XR0599710",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.