Individual provider Active NPI

Maria Sandra Alzona Umali, M.D.

  • Gastroenterology Physician
  • Newhall, CA
National Provider Identifier
1790817328
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A34940 Issued in CA
Practice address
22621 Lyons Ave
Newhall, CA 91321-1702
Phone
(661) 964-0597
Fax
(661) 964-0598
NPI assigned
Mar 9, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A34940 CA Primary
Cardiovascular Disease Physician 207RC0000X A34940 CA
Internal Medicine Physician 207R00000X A34940 CA

Addresses

Primary practice location

22621 Lyons Ave
Newhall, CA 91321-1702

Mailing address

PO Box 221360
Newhall, CA 91322-1360
Phone (661) 964-0597

Other identifiers 1

IdentifierTypeStateIssuer
05D1000027OtherCACLIA

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
I20051215000892 CA Practitioner - GastroenterologyPractitioner - Cardiovascular Disease (Cardiology) 8426079559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22621 Lyons Ave
Newhall, CA 91321-1702
Phone (661) 964-0597

PO Box
Suite 221360
Newhall, CA 91322

PO Box
Suite 221360
Newhall, CA 91322-1360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Sandra a Umali MD Inc Internal Medicine CurrentSince Oct 31, 2012 Accepting new patients
Henry Mayo Newhall Memorial Hospital PastSince Oct 31, 2012 Accepting new patients

Locations

22621 Lyons Ave
Newhall, CA 91321
Phone (661) 964-0597

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Luke's Hospice, Inc.Diamond Bar, CA, CCN 551597 Hospice W-2 Managing Employee Oct 22, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 2

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790817328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221360",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913221360",
            "telephone_number": "661-964-0597",
            "fax_number": "661-964-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22621 LYONS AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913211702",
            "telephone_number": "661-964-0597",
            "fax_number": "661-964-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMALI",
        "first_name": "MARIA SANDRA",
        "middle_name": "ALZONA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A34940",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A34940",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A34940",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1000027",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

Verify at the official NPI Registry.