Individual provider Active NPI

Umaima Bharmal, DMD

  • Dentist
  • Orange, CA
National Provider Identifier
1598373243
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104962 Issued in CA
Practice address
424 S Main St Ste H
Orange, CA 92868-3828
Phone
(714) 881-4637
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104962 CA Primary

Addresses

Primary practice location

424 S Main St Ste H
Orange, CA 92868-3828

Mailing address

5825 Los Cientos Cir
Buena Park, CA 90620-3421
Phone (936) 577-0063

Other identifiers 1

IdentifierTypeStateIssuer
104962OtherCACALIFORNIA DENTAL BOARD LICENSE NUMBER

Other names 1

  • Mrs. Umaima Suteria Former name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1598373243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 LOS CIENTOS CIR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203421",
            "telephone_number": "936-577-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S MAIN ST STE H",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683828",
            "telephone_number": "714-881-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARMAL",
        "first_name": "UMAIMA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL BOARD LICENSE NUMBER",
            "identifier": "104962",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UMAIMA",
            "last_name": "SUTERIA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.