Organization Active NPI

Sarasa Kumar M.D., Inc

  • Pediatrics Physician
  • Chino, CA
National Provider Identifier
1548376783
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A49540 Issued in CA
Legal business name
SARASA KUMAR M.D., INC
Practice address
13768 Roswell Ave
Suite 205
Chino, CA 91710-1401
Phone
(909) 590-7356
Fax
(909) 548-6871
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Sarasa Kumar, M.D.NPI 1982640371
Title
Business Owner
Phone
(909) 590-7356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A49540 CA Primary

Addresses

Primary practice location

13768 Roswell Ave
Suite 205
Chino, CA 91710-1401

Mailing address

13768 Roswell Ave
Suite 205
Chino, CA 91710-1401
Phone (909) 590-7356

Other identifiers 2

IdentifierTypeStateIssuer
11415033OtherCACAQH
00A495400MedicaidCA

National Provider Directory

National Provider Directory

Locations

13768 Roswell Ave
Ste 205
Chino, CA 91710
Phone (909) 590-7356

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1548376783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 205",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-590-7356",
            "fax_number": "909-548-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 205",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-590-7356",
            "fax_number": "909-548-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASA KUMAR M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SARASA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "909-590-7356",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A49540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11415033",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A495400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.