Sushma Sangita Sadula, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A176414 Issued in CA

Practice address

12442 Limonite Ave Unit 205
Eastvale, CA 91752-2467

Phone

(909) 429-2864

NPI assigned

Apr 20, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cajon Medical Group PCGroup PAC ID 8820351174, 18 clinicians

Golden State Medical GroupGroup PAC ID 0042622441, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (6 of 7)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cajon Medical Group PC

  • Internal Medicine Physician
  • Moreno Valley, CA
  • NPI 1841844891
  Medicare reassignment Care Compare group NPD
• Golden State Medical Group

  • Family Medicine Physician
  • Montclair, CA
  • NPI 1255958476
  Medicare reassignment Care Compare group NPD
• Cajon Medical Group PC

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1326547183
  NPD
• Cajon Medical Group, PC

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1245118082
  NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD
• Cajon Medical Group, PC

  • Internal Medicine Physician
  • Yucaipa, CA
  • NPI 1801661707
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - San Dimas LLC

  • General Acute Care Hospital
  • San Dimas, CA
  • NPI 1740447945
  Care Compare affiliation

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1104489566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 WALNUT 2ND FLOOR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-255-0806",
            "fax_number": "909-312-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12442 LIMONITE AVE UNIT 205",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917522467",
            "telephone_number": "909-429-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADULA",
        "first_name": "SUSHMA",
        "middle_name": "SANGITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2025-06-10",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A176414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica H Rodriguez, BCBA-D
• Anne Rojo, PT
• Haley Rosen, PSY.D.
• Milbank Rowe
• Carl Louis Rowens III
• Saferide Eastvale Corporation
• Sahawneh Dental Corporation
• Sahawneh Dental Corporation
• Sana Sultana Saiyed, PHARMD
• Wajdi Salah

• Family Medicine Physician in Eastvale, CA
• Providers in Eastvale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.