Active NPI
Nina Kumar, FNP
- Family Nurse Practitioner
- San Jacinto, CA
National Provider Identifier
1760705867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP17878
- Practice address
- 1695 S San Jacinto Ave
Suite a
San Jacinto, CA 92583-5103 - Phone
- (951) 665-1100
- Fax
- (951) 665-1414
- NPI assigned
- Mar 4, 2010
- Last updated
- Aug 12, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP17878 | CA | Primary |
Addresses
Primary practice location
1695 S San Jacinto Ave
Suite a
San Jacinto, CA 92583-5103
Mailing address
1695 S San Jacinto Ave
Suite a
San Jacinto, CA 92583-5103
Phone (951) 665-1100
Other names 1
- Nina Patel
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17878 | CA | MD | Medical Physician Assistant |
| NP17878 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edith a. Jones-Poland MD Professional Corp | Past | Accepting new patients | |
| Varun Gupta MD Professional Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Edith A. Jones-Poland MD and Assoc. Inc.
- General Practice Physician
- Yucca Valley, CA
- NPI 1083748032
-
- Hematology & Oncology Physician
- Rancho Mirage, CA
- NPI 1952327306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1760705867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 S SAN JACINTO AVE",
"address_2": "SUITE A",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925835103",
"telephone_number": "951-665-1100",
"fax_number": "951-665-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 S SAN JACINTO AVE",
"address_2": "SUITE A",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925835103",
"telephone_number": "951-665-1100",
"fax_number": "951-665-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "NINA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-04",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP17878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NINA",
"last_name": "PATEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.