Individual provider Active NPI

Sumana Dasari

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1114488210
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A195166 Issued in CA
Practice address
757 Westwood PLZ
Los Angeles, CA 90095-4772
Phone
(310) 301-6800
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT218446 PA
Diagnostic Radiology Physician 2085R0202X A195166 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Los Angeles, CA 90095-4772

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

320 E North Ave
Pittsburgh, PA 15212-4772
Phone (412) 359-4971

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
I20240517003558 CA Practitioner - Diagnostic Radiology 5395186530 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Drexel University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCLA Radiology Medical GroupGroup PAC ID 8921902065, 193 clinicians
Martin Luther King Jr Community Medical FoundationGroup PAC ID 8628359502, 193 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

100 Moody CT
Thousand Oaks, CA 91360-6077
Phone (805) 418-3500

135 E Compton Blvd
Compton, CA 90220-2410
Phone (424) 338-8790

1680 E 120TH St
Los Angeles, CA 90059-3026

19950 Rinaldi St
Suite 100
Northridge, CA 91326-4141
Phone (818) 901-6600

200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 582-6217

2215 W Rosecrans Ave
Compton, CA 90222-3856

248 Hampshire Rd
Suite 100
Thousand Oaks, CA 91361-2401
Phone (805) 370-0040

26585 Agoura Rd
Suite 210
Calabasas, CA 91302-1958
Phone (818) 878-0028

300 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

300 UCLA Medical PLZ
Suite B130
Los Angeles, CA 90095-8346
Phone (310) 206-0456

3500 Lomita Blvd
Suite 300
Torrance, CA 90505-5038
Phone (310) 257-0028

4323 Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700

4343 Lankershim Blvd
North Hollywood, CA 91602-2705

501 Deep Valley Dr
Suite 100
Rolling Hills Estates, CA 90274-7606
Phone (310) 265-6401

7230 Medical Ctr Dr
Suite 604
West Hills, CA 91307-4021
Phone (310) 319-1234

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-9111

Hospital & facility affiliations

  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Martin Luther King, Jr. Community Hospital Hospital, Los Angeles, CA, CCN 050779
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A195166CAMDDiagnostic Radiology Physician
MT218446PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2024 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2024 Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2024 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2024 Accepting new patients
UCLA Medical Group Diagnostic Radiology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

2400 Bahamas Dr
Bakersfield, CA 93309
Phone (661) 328-2333

26585 Agoura Rd
Ste 210
Calabasas, CA 91302
Phone (818) 878-0028

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

700 W 7th St
Ste S270A
Los Angeles, CA 90017

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

File 59755
Los Angeles, CA 90074

200 UCLA Medical Plz
Ste 660
Los Angeles, CA 90095
Phone (310) 206-6688

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

1919 Santa Monica Blvd
Ste 300
Santa Monica, CA 90404
Phone (424) 259-7160

100 Moody Ct
Thousand Oaks, CA 91360
Phone (805) 418-3500

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1114488210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900954772",
            "telephone_number": "310-301-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124772",
            "country_code": "US",
            "telephone_number": "412-359-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASARI",
        "first_name": "SUMANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT218446",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A195166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.