Sumi Karen Kawaratani, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G061755 Issued in CA

Practice address

1245 Wilshire Blvd Ste 680
Los Angeles, CA 90017-4880

Phone

(213) 628-1020

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sumiko K Kawaratani Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ronald Shigematsu

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1114190907
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1851460893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 680",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174880",
            "telephone_number": "213-628-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 680",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174880",
            "telephone_number": "213-628-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWARATANI",
        "first_name": "SUMI",
        "middle_name": "KAREN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G061755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0045240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMIKO",
            "last_name": "KAWARATANI",
            "middle_name": "K",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Kawamata
• Henry K Kawamoto, MD
• Jenna K Kawamoto, PHARMD
• Marc Kawanaga
• Rekha Kawankar
• Sandra Kawashima
• Kawata Dental Inc.
• Ben R Kawata, DDS
• Kerilyn Mayumi Kawazoe, O.D.
• Lucine Kawecki, CRNA

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.