Surinder Kumar, M.D., FACP,FASN,CCD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A320240 Issued in CA

Practice address

1595 Soquel Dr.
Suite 210
Santa Cruz, CA 95065-1719

Phone

(831) 476-1551

Fax

(831) 476-3241

NPI assigned

Sep 29, 2006

Last updated

Nov 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1437241809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR.",
            "address_2": "SUITE 210",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651719",
            "telephone_number": "831-476-1551",
            "fax_number": "831-476-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR.",
            "address_2": "SUITE 210",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651719",
            "telephone_number": "831-476-1551",
            "fax_number": "831-476-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SURINDER",
        "name_prefix": "Dr.",
        "credential": "M.D., FACP,FASN,CCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A320240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD TAX ID #",
            "identifier": "942809523",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A320240",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV. ID",
            "identifier": "ZZZ66323Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00237353",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Youssef Adli Kudsi
• Kerstin Kuebast
• Richard Rol;and Kuechle, D.D.S.
• Alicia Allyson Kuhl
• William G. Kuhn, DDS
• Andrew K Kumasaka, M.D.
• Anjoli Kumra
• Kaytlin Kuns
• Francis Kuo, O.D.
• Samuel En-Tao Kuo, D.D.S.

• Nephrology Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.