Active NPI
Lata Santhakumar, M.D.
- Obstetrics & Gynecology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A129118
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03013343 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A129118 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | 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
- lsanthakumar769631@direct.ochin.org
- 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.
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124112933
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1811302045
-
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124257324
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1548789050
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
-
- Adult Care Home Facility
- North Tonawanda, NY
- NPI 1366489221
-
- Children's Hospital
- Buffalo, NY
- NPI 1104874817
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.