Individual provider Active NPI

Shyam Kumbhani, DO

  • Psychiatry Physician
  • Tulare, CA
National Provider Identifier
1124256904
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A10784 Issued in CA
Practice address
201 N K St
Tulare, CA 93274-4005
Phone
(559) 687-0929
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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 20A10784 CA Primary

Addresses

Primary practice location

201 N K St
Tulare, CA 93274-4005

Mailing address

19358 Kilfinan St
Northridge, CA 91326-4011
Phone (818) 272-0583

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
I20110714000267 CA Practitioner - Psychiatry 9133397367 Reassigns benefits to 3 organizations
Practice locations: La Verne, CA; San Dimas, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of the Central Coast IncGroup PAC ID 7416868120, shared by 23 NPIs, 74 clinicians

Practice addresses (Care Compare)

2800 Riverside Ave
Suite 101
Paso Robles, CA 93446-1312
Phone (805) 929-3211

4723 W Main St
Suite H
Guadalupe, CA 93434-1787
Phone (805) 343-5577

Hospital & facility affiliations

  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10784CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inlandpsych Redlands Inc Psychiatry CurrentSince Jul 1, 2011 Accepting new patients
County of Tulare Current Accepting new patients
County of Tulare CurrentSince Jun 14, 2017 Accepting new patients
County of Sonoma CurrentSince Jun 15, 2024 Accepting new patients
County of Sonoma Current Accepting new patients
County of Sonoma CurrentSince Jun 15, 2024 Accepting new patients
Inlandpsych Redlands Inc Psychiatry CurrentSince Jul 1, 2011 Accepting new patients
County of Tulare CurrentSince Jun 14, 2017 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Goldencast Medical Corporation PastSince May 1, 2008 Accepting new patients
SB Home Inc Past Accepting new patients

Locations

701 Highland Springs Ave
Ste 7
Beaumont, CA 92223
Phone (951) 849-7455

255 Terracina Blvd
Ste 204
Redlands, CA 92373
Phone (909) 496-1266

1450 Neotomas Ave
Ste 200
Santa Rosa, CA 95405
Phone (707) 565-4131

2225 Challenger Way
Santa Rosa, CA 95407
Phone (707) 565-4101

520 E Tulare Ave
Visalia, CA 93292

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

Interoperability endpoints

  • Direct secure messaging: shyamkumbhani@tdh.allscriptsdirect.net
  • Direct secure messaging: shyam.kumbhani.1@17363.direct.athenahealth.com
  • Direct secure messaging: skumbhani582227@direct.ochin.org

Organizations & group practices 11

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 2

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1124256904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19358 KILFINAN ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913264011",
            "telephone_number": "818-272-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N K ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932744005",
            "telephone_number": "559-687-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMBHANI",
        "first_name": "SHYAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A10784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.