Individual provider Active NPI

H T Mohankumar, MD

  • Psychiatry Physician
  • Orange, CA
National Provider Identifier
1114080314
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A41677 Issued in CA
Practice address
4000 W Metropolitan Dr Ste 120
Orange, CA 92868-3504
Phone
(661) 444-1567
NPI assigned
Dec 18, 2006
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A41677 CA Primary

Addresses

Primary practice location

4000 W Metropolitan Dr Ste 120
Orange, CA 92868-3504

Mailing address

6001 Truxtun Ave
Suite #160
Bakersfield, CA 93309-0679
Phone (661) 323-6410

Other practice location 1

6001 Truxtun Ave
Suite #160
Bakersfield, CA 93309-0679
Phone (661) 323-6410

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000281 CA Practitioner - Psychiatry 2961527908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family HealthGroup PAC ID 9234176363, shared by 50 NPIs, 93 clinicians

Practice addresses (Care Compare)

1014 Calloway Dr
BLDG F
Bakersfield, CA 93312-6337
Phone (866) 707-6664

1022 Calloway Dr
Bakersfield, CA 93312-6337
Phone (866) 707-6664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A41677CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange Current Accepting new patients
County of Orange CurrentSince Nov 17, 2019 Accepting new patients
County of Kern Psychiatry CurrentSince Dec 14, 2021 Accepting new patients
County of Kern Psychiatry Current Accepting new patients
County of Orange CurrentSince Nov 17, 2019 Accepting new patients

Locations

2151 College Ave
Bakersfield, CA 93305
Phone (661) 868-8080

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

4000 W Metropolitan Dr
Ste 120
Orange, CA 92868
Phone (714) 869-8982

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: honnudike.mohankumar.p1@direct.omnifamilyhealth.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1114080314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 TRUXTUN AVE",
            "address_2": "SUITE #160",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090679",
            "telephone_number": "661-323-6410",
            "fax_number": "661-323-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W METROPOLITAN DR STE 120",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683504",
            "telephone_number": "661-444-1567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Truxtun Ave",
            "address_2": "Suite #160",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933090679",
            "country_code": "US",
            "telephone_number": "661-323-6410",
            "fax_number": "661-323-0634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHANKUMAR",
        "first_name": "H",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A41677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.