Individual provider Active NPI

Dushyant Kumar

  • Student in an Organized Health Care Education/Training Program
  • Loma Linda, CA
National Provider Identifier
1174263941
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
11332 Mountain View Ave Ste a
Loma Linda, CA 92354-3854
Phone
(909) 470-6947
Fax
(909) 796-3709
NPI assigned
Mar 30, 2022
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

11332 Mountain View Ave Ste a
Loma Linda, CA 92354-3854

Mailing address

1517 Peppertree Dr
La Habra Heights, CA 90631-8534
Phone (562) 640-0949

Other practice location 1

1517 Peppertree Dr
LA Habra Heights, CA 90631-8534
Phone (562) 640-0949

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618004066 CA Practitioner - Podiatry 3870004575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mariam AmiriGroup PAC ID 0446158968, 3 clinicians

Practice addresses (Care Compare)

11332 Mountain View Ave
Suite a
Loma Linda, CA 92354-3854
Phone (909) 796-3707

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue431
Removal or shaving of skin growth215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6103CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mariam Amiri Current Accepting new patients
Mariam Amiri CurrentSince Jul 14, 2025 Accepting new patients
Rivello Podiatry CurrentSince Jun 1, 2025 Accepting new patients
Step and Stride Group PC CurrentSince Apr 1, 2022 Accepting new patients

Locations

11332 Mountain View Ave
Ste A
Loma Linda, CA 92354
Phone (909) 796-3707

1535 N China Lake Blvd
Ste B
Ridgecrest, CA 93555
Phone (661) 945-8717

Interoperability endpoints

  • Direct secure messaging: dushyant.kumar.1@14448.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1174263941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 PEPPERTREE DR",
            "city": "LA HABRA HEIGHTS",
            "state": "CA",
            "postal_code": "906318534",
            "telephone_number": "562-640-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11332 MOUNTAIN VIEW AVE STE A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543854",
            "telephone_number": "909-470-6947",
            "fax_number": "909-796-3709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1517 Peppertree Dr",
            "address_purpose": "LOCATION",
            "city": "LA Habra Heights",
            "state": "CA",
            "postal_code": "906318534",
            "country_code": "US",
            "telephone_number": "562-640-0949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "DUSHYANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.