Santosh Kumar Sundaresan

Primary specialty

DentistTaxonomy code 122300000X

License

53653 Issued in CA

Practice address

3721 S la Brea Ave
Los Angeles, CA 90016-5309

Phone

(213) 486-4050

NPI assigned

May 17, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: santosh.sundaresan.p1@direct.cmiorg.nextgenshare.com

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1447579370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165309",
            "telephone_number": "213-486-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARESAN",
        "first_name": "SANTOSH",
        "middle_name": "KUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun'S Holistic Acupunture, Inc
• Sunbridge Meadowbrook Rehabilitation Center
• Jawahar Sundaram, MD
• Michele Lynn Sundaram, DO
• Pavithra Sundaravaradan
• Sunday Pediatrics a Professional Corporation
• Dianne Y. Sundby, PH.D.
• Tiffany Ann Sunde, PSYD MFT
• Sundo Ham, DDS. Inc.
• Pablo Alejandro Sune, MTBC

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.