Kenneth T Sumida MD Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A67658 Issued in CA

Legal business name

KENNETH T SUMIDA MD INC

Practice address

1641 Creekside Dr Ste 100
Folsom, CA 95630-3831

Phone

(916) 984-4242

Fax

(949) 588-2199

NPI assigned

Jun 29, 2009

Organization subpart

No

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

Authorized official

Name

Kenneth T Sumida, MDNPI 1699835454

Title

President

Phone

(916) 984-4242

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Kenneth T. Sumida, MD

  • Plastic Surgery Physician
  • Folsom, CA
  • NPI 1699835454
  Authorized official Same address or phone

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1245468222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOLLAND STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182568",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 CREEKSIDE DR STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303831",
            "telephone_number": "916-984-4242",
            "fax_number": "949-588-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH T SUMIDA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "SUMIDA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-984-4242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A67658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG574130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Kelleher, DDS
• Tori Kelley
• Bernadette Ann Kelly, MD
• Catherine Jameson Lee Kelly
• Li Kelly
• Heather Nicole Kenney, MFT
• Sarah Yael Kerem, MFT
• Taylor Kern
• Allyson Nicole Keslin, DNP, APRN
• Ilya L Khamishon, M.D.

• Plastic Surgery Physician in Folsom, CA
• Providers in Folsom, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.