Individual provider Active NPI

Neal Kumar, M.D.

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1780002519
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
192747 Issued in CA
Practice address
6300 Wilshire Blvd Ste 980
Los Angeles, CA 90048-5202
Phone
(323) 931-4084
NPI assigned
Mar 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 192747 CA Primary

Addresses

Primary practice location

6300 Wilshire Blvd Ste 980
Los Angeles, CA 90048-5202

Mailing address

6300 Wilshire Blvd Ste 980
Los Angeles, CA 90048-5202
Phone (323) 931-4084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180801000697 MA Practitioner - Dermatology 9739304700 Reassigns benefits to 1 organization
I20180801000983 NH Practitioner - Dermatology 9739304700 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192747CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andover Dermatology, PC Single Specialty CurrentSince Aug 6, 2018 Accepting new patients

Locations

138 Haverhill St
Ste 200
Andover, MA 01810
Phone (978) 470-2314

29 Stiles Rd
Ste 303
Salem, NH 03079
Phone (603) 290-2188

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1780002519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WILSHIRE BLVD STE 980",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485202",
            "telephone_number": "323-931-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WILSHIRE BLVD STE 980",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485202",
            "telephone_number": "323-931-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "192747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.