Active NPI
Laju A Kumar, MD
- Family Medicine Physician
- Clovis, CA
National Provider Identifier
1124046172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C132733
- Practice address
- 2694 Heritage Ave
Clovis, CA 93619-8603 - Phone
- (559) 851-5258
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C132733 | CA | Primary |
Addresses
Primary practice location
2694 Heritage Ave
Clovis, CA 93619-8603
Mailing address
2694 Heritage Ave
Clovis, CA 93619-8603
Phone (559) 851-5258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05623256 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1757 | NY | MD | Chiropractor |
| C132733 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Health Care Resource Center of Tulsa, Inc. | Past | Accepting new patients | |
| Desoto Primary Care Clinic, PLLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- laju.kumar.p1@direct.castle.nextgenshare.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Olive Branch, MS
- NPI 1477643732
Family Medicine
-
- Pharmacy
- Tulsa, OK
- NPI 1457447609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1124046172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2694 HERITAGE AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936198603",
"telephone_number": "559-851-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2694 HERITAGE AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936198603",
"telephone_number": "559-851-5258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "LAJU",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C132733",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05623256",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.