Active NPI
Cathy Cumberland, MD
- General Practice Physician
- Costa Mesa, CA
National Provider Identifier
1447204656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G47990
- Practice address
- 660 Baker Street Ste A102
Costa Mesa, CA 92626-4407 - Phone
- (714) 668-2505
- Fax
- (714) 668-2515
- NPI assigned
- May 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G47990 | CA | Primary |
Addresses
Primary practice location
660 Baker Street Ste A102
Costa Mesa, CA 92626-4407
Mailing address
PO Box 2218
Suisun City, CA 94585-5218
Phone (657) 241-3600
Other practice location 1
4950 Barranca Pkwy Ste 104
irvine, CA 92604-8644
Phone (949) 857-1248
Other practice location 2
18785 S. Brookhurst Street Ste 101
Fountain Valley, CA 92708-7300
Phone (714) 378-0042
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 |
|---|---|---|---|
| G47990 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1447204656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2218",
"city": "SUISUN CITY",
"state": "CA",
"postal_code": "945855218",
"telephone_number": "657-241-3600",
"fax_number": "657-241-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 BAKER STREET STE A102",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264407",
"telephone_number": "714-668-2505",
"fax_number": "714-668-2515"
}
],
"practiceLocations": [
{
"address_1": "4950 Barranca Pkwy Ste 104",
"address_purpose": "LOCATION",
"city": "irvine",
"state": "CA",
"postal_code": "926048644",
"country_code": "US",
"telephone_number": "949-857-1248",
"fax_number": "949-559-1165",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18785 S. Brookhurst Street Ste 101",
"address_purpose": "LOCATION",
"city": "Fountain Valley",
"state": "CA",
"postal_code": "927087300",
"country_code": "US",
"telephone_number": "714-378-0042",
"fax_number": "714-968-9129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUMBERLAND",
"first_name": "CATHY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G47990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.