Active NPI
Soumajit Kundu, DO
- Internal Medicine Physician
- Chula Vista, CA
National Provider Identifier
1184310153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A25170
- Practice address
- 751 Medical Center CT
Chula Vista, CA 91911-6617 - Phone
- (619) 502-5800
- NPI assigned
- Apr 13, 2023
- Last updated
- Oct 8, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A25170 | CA | Primary |
Addresses
Primary practice location
751 Medical Center CT
Chula Vista, CA 91911-6617
Mailing address
PO Box 2249
La Mesa, CA 91943-2249
Phone (619) 461-1920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240708000262 | OH | Order and Referring Only - Internal Medicine | 7810431467 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1184310153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2249",
"city": "LA MESA",
"state": "CA",
"postal_code": "919432249",
"telephone_number": "619-461-1920",
"fax_number": "619-461-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 MEDICAL CENTER CT",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919116617",
"telephone_number": "619-502-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNDU",
"first_name": "SOUMAJIT",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-13",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A25170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.