Individual provider Active NPI

Lata Santhakumar, M.D.

  • Obstetrics & Gynecology Physician
  • Sacramento, CA
National Provider Identifier
1376717801
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A129118 Issued in CA
Practice address
7601 Hospital Dr Ste 220
Sacramento, CA 95823-5408
Phone
(916) 689-3433
Fax
(916) 689-8943
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 003036 NY
Obstetrics & Gynecology Physician 207V00000X A129118 CA Primary

Addresses

Primary practice location

7601 Hospital Dr Ste 220
Sacramento, CA 95823-5408

Mailing address

1500 Expo Pkwy
Sacramento, CA 95815-4227
Phone (916) 469-4690

Other identifiers 1

IdentifierTypeStateIssuer
03013343MedicaidNY

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
I20140708000665 CA Practitioner - Obstetrics/Gynecology 4981776606 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A129118CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Jun 24, 2019 Accepting new patients
Wellspace Health CurrentSince Jun 24, 2019 Accepting new patients
Wellspace Health Current Accepting new patients
Wellspace Health Past Accepting new patients
Kaleida Health Past Accepting new patients
Erie County Medical Center Corporation Past Accepting new patients
Women and Children'S Hospital of Buffalo Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Wellspace Health Past Accepting new patients
Rideout Memorial Hospital Past Accepting new patients

Locations

151 N Sunrise Ave
Ste 1309
Roseville, CA 95661
Phone (916) 469-4698

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

2433 Marconi Ave
Sacramento, CA 95821
Phone (916) 313-8455

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

7601 Hospital Dr
Ste 220
Sacramento, CA 95823
Phone (916) 689-3433

Interoperability endpoints

  • Direct secure messaging: lsanthakumar769631@direct.ochin.org
  • Direct secure messaging: lata.santhakumar.p1@direct.wellspacehealth.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1376717801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EXPO PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154227",
            "telephone_number": "916-469-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 HOSPITAL DR STE 220",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235408",
            "telephone_number": "916-689-3433",
            "fax_number": "916-689-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTHAKUMAR",
        "first_name": "LATA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "003036",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A129118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03013343",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.