Kumkum Patel MD Inc- a Medical Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

KUMKUM PATEL MD INC- A MEDICAL CORPORATION

Practice address

13891 Newport Ave Ste 285
Tustin, CA 92780-7840

Phone

(949) 298-7112

NPI assigned

Nov 2, 2023

Last updated

May 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kumkum S Patel, MD, MPH

Title

President and Ceo

Phone

(815) 566-7773

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• J. Timothy Green, PH.D.

  • Clinical Psychologist
  • Laguna Hills, CA
  • NPI 1790871267
  NPD (past)
• Lisa Ann Stockdale, PH.D.

  • Psychologist
  • Newport Beach, CA
  • NPI 1801933437
  NPD (past)

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1174396048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PEWTER",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926207336",
            "telephone_number": "949-298-7112",
            "fax_number": "949-620-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13891 NEWPORT AVE STE 285",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807840",
            "telephone_number": "949-298-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Westcliff Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926605518",
            "country_code": "US",
            "telephone_number": "949-298-7112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26300 La Alameda Ste 280",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926918306",
            "country_code": "US",
            "telephone_number": "949-298-7112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KUMKUM PATEL MD INC- A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KUMKUM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "815-566-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KRS-PT, Inc.
• Sharron Krueger, RNP
• Dallas R Kuba
• Dinesh Kumar, MD
• Nishchal Kumar, M.D.
• Thomas V Kurien, B.PHARM
• Miki Kusaka
• Donald Kuskin, PHYSICAL THERAPIST
• Jae H. Kwak, D.M.D.
• Grace Eun Kwon, D.O.

• Gastroenterology Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.