Individual provider Active NPI

Sana Kamdar

  • Internal Medicine Physician
  • Azusa, CA
National Provider Identifier
1821582263
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A174716 Issued in CA
Practice address
520 W Foothill Blvd
Azusa, CA 91702-2343
Phone
(626) 334-1611
Fax
(626) 334-1677
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A174716 CA Primary

Addresses

Primary practice location

520 W Foothill Blvd
Azusa, CA 91702-2343

Mailing address

520 W Foothill Blvd
Azusa, CA 91702-2343
Phone (626) 334-1611

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
I20220211002092 CA Practitioner - Internal MedicinePractitioner - Family Practice 5698026961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bina a Kamdar MD, Inc.Group PAC ID 5395872808, 2 clinicians

Practice addresses (Care Compare)

520 W Foothill Blvd
Azusa, CA 91702-2343
Phone (626) 334-1611

Hospital & facility affiliations

  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174716CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bina a Kamdar MD, Inc. Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

520 W Foothill Blvd
Azusa, CA 91702
Phone (626) 334-1611

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1821582263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W FOOTHILL BLVD",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022343",
            "telephone_number": "626-334-1611",
            "fax_number": "626-334-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W FOOTHILL BLVD",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022343",
            "telephone_number": "626-334-1611",
            "fax_number": "626-334-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMDAR",
        "first_name": "SANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A174716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

Verify at the official NPI Registry.