Active NPI
Kathleen Fumiko Sarmiento, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- San Diego, CA
National Provider Identifier
1407868169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- A117503
- Practice address
- 3350 La Jolla Village Dr
San Diego, CA 92161-0002 - Phone
- (858) 552-8585
- Fax
- (858) 546-1754
- NPI assigned
- Aug 12, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0064792 | MD | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | D64792 | MD | |
| Pulmonary Disease Physician | 207RP1001X | D64792 | MD | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | A117503 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A117503 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A117503 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A117503 | CA |
Addresses
Primary practice location
3350 La Jolla Village Dr
San Diego, CA 92161-0002
Mailing address
3350 La Jolla Village Dr
Mail Code 111J
San Diego, CA 92161-0002
Phone (858) 552-8585
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S062-0353 | Other | MD | BLUE CROSS/BLUE SHIELD - REGIONAL |
| 895016-02 & 03 | Other | MD | BLUE CROSS/BLUE SHIELD |
| 417537900 | Medicaid | MD |
Other names 1
- Dr. Kathleen Fumiko Brennan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A117503 | CA | MD | Internal Medicine Physician |
| D0064792 | MD | MD | Internal Medicine Physician |
| D64792 | MD | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1407868169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 LA JOLLA VILLAGE DR",
"address_2": "MAIL CODE 111J",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921610002",
"telephone_number": "858-552-8585",
"fax_number": "858-546-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 LA JOLLA VILLAGE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921610002",
"telephone_number": "858-552-8585",
"fax_number": "858-546-1754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARMIENTO",
"first_name": "KATHLEEN",
"middle_name": "FUMIKO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0064792",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MD",
"license": "D64792",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D64792",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CA",
"license": "A117503",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A117503",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A117503",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A117503",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD - REGIONAL",
"identifier": "S062-0353",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "895016-02 & 03",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417537900",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "BRENNAN",
"middle_name": "FUMIKO",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.