Individual provider Active NPI

Anjuli Kumar, M.D.

  • Pediatrics Physician
  • Long Beach, CA
National Provider Identifier
1720102197
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A93207 Issued in CA
Practice address
1760 Termino Ave Ste 300
Long Beach, CA 90804-2157
Phone
(562) 933-3009
Fax
(562) 933-8557
NPI assigned
Mar 19, 2007
Last updated
Apr 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A93207 CA Primary

Addresses

Primary practice location

1760 Termino Ave Ste 300
Long Beach, CA 90804-2157

Mailing address

1760 Termino Ave Ste 300
Long Beach, CA 90804-2157
Phone (562) 933-3009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000726 CA Practitioner - Gastroenterology 5092839902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York Medical College, 2004
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-8820

2865 Atlantic Ave
Suite 104
Long Beach, CA 90806-7406
Phone (562) 933-6900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93207CAMDPharmacist
A93207CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Gastroenterology Associates of Southern California CurrentSince Aug 1, 2010 Accepting new patients

Locations

1901 Newport Blvd
Ste 235
Costa Mesa, CA 92627
Phone (562) 490-3580

9940 Talbert Ave
Ste 200
Fountain Valley, CA 92708
Phone (562) 684-8096

1760 Termino Ave
Ste 300
Long Beach, CA 90804
Phone (562) 933-6900

2701 Atlantic Ave
Long Beach, CA 90806
Phone (562) 684-8096

2865 Atlantic Ave
Ste 104
Long Beach, CA 90806
Phone (562) 933-1820

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: akumarmd109201@direct.memorialcare.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1720102197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE STE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042157",
            "telephone_number": "562-933-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE STE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042157",
            "telephone_number": "562-933-3009",
            "fax_number": "562-933-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "ANJULI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A93207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.