Active NPI
Reetika Kim Kumar, MD
- Internal Medicine Physician
- San Luis Obispo, CA
National Provider Identifier
1477760593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A84091
- Practice address
- California Mens Colony
Highway 1 Attention Chief Medical Officers Office
San Luis Obispo, CA 93409-0001 - Phone
- (800) 547-7900
- Fax
- (805) 547-7513
- NPI assigned
- May 17, 2007
- Last updated
- Jul 1, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A84091 | CA | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 31651 | AZ |
Addresses
Primary practice location
California Mens Colony
Highway 1 Attention Chief Medical Officers Office
San Luis Obispo, CA 93409-0001
Mailing address
California Mens Colony
PO Box 8101
San Luis Obispo, CA 93409-0001
Phone (805) 547-7900
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 |
|---|---|---|---|
| 31651 | AZ | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of San Luis Obispo County, Inc | Internal Medicine | Past | Accepting new patients |
| Delphi OB-GYN Group of Montgomery County LLC | Past | Accepting new patients | |
| Templeton Inpatient Physicians PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Templeton, CA
- NPI 1346546363
-
- Orthopaedic Surgery Physician
- Templeton, CA
- NPI 1871757575
Internal Medicine
-
- Obstetrics & Gynecology Physician
- Olney, MD
- NPI 1780881615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1477760593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALIFORNIA MENS COLONY",
"address_2": "PO BOX 8101",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934090001",
"telephone_number": "805-547-7900",
"fax_number": "805-547-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALIFORNIA MENS COLONY",
"address_2": "HIGHWAY 1 ATTENTION CHIEF MEDICAL OFFICERS OFFICE",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934090001",
"telephone_number": "800-547-7900",
"fax_number": "805-547-7513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "REETIKA",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A84091",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "AZ",
"license": "31651",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.