Individual provider Active NPI

Natalya V. Sumina, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1437288123
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A88502 Issued in CA
Practice address
11303 W Washington Blvd
Suite 100
Los Angeles, CA 90066-6003
Phone
(310) 391-7281
Fax
(310) 390-9851
NPI assigned
Mar 5, 2007
Last updated
Apr 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A88502 CA Primary

Addresses

Primary practice location

11303 W Washington Blvd
Suite 100
Los Angeles, CA 90066-6003

Mailing address

11303 W Washington Blvd
Suite 100
Los Angeles, CA 90066-6003
Phone (310) 391-7281

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
I20070519000113 CA Practitioner - Internal Medicine 4284731696 Reassigns benefits to 1 organization
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11303 W Washington Blvd
Suite 100
Los Angeles, CA 90066-6003
Phone (310) 391-7281

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88502CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
The Regents of the University of California CurrentSince Jul 1, 2008 Accepting new patients
Prairie Medical Group Past Accepting new patients
La Vida Multispecialty Medical Group Inc Past Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients
Prairie Medical Group Inc Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
La Vida Multi-Specialty Medical Group Past Accepting new patients

Locations

5767 W Century Blvd
#400
Los Angeles, CA 90045

File 55737
Los Angeles, CA 90074

55737 File
Los Angeles, CA 90074

11303 W Washington Blvd
#100
Los Angeles, CA 90066
Phone (310) 391-7281

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

Interoperability endpoints

  • Direct secure messaging: nsumina48267@direct.uclahealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1437288123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11303 W WASHINGTON BLVD",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666003",
            "telephone_number": "310-391-7281",
            "fax_number": "310-390-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11303 W WASHINGTON BLVD",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666003",
            "telephone_number": "310-391-7281",
            "fax_number": "310-390-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMINA",
        "first_name": "NATALYA",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.