Active NPI
Sarasa Kumar M.D., Inc
- Pediatrics Physician
- Chino, CA
National Provider Identifier
1548376783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A49540
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarasa Kumar, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11415033 | Other | CA | CAQH |
| 00A495400 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Chino, CA
- NPI 1982640371
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.