Kumars Portable Xray Inc.

Primary specialty

Health Information TechnicianTaxonomy code 247000000X

Legal business name

KUMARS PORTABLE XRAY INC.

Doing business as

Kumars Portable Xray Inc.

Practice address

3621 Glencrest Dr
Modesto, CA 95355-8431

Phone

(209) 575-4575

Fax

(209) 575-4598

NPI assigned

Dec 6, 2019

Organization subpart

No

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

Authorized official

Name

Jamie Dole

Title

Manager

Phone

(209) 575-4575

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KUMARS PORTABLE XRAY INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Portable X-ray supplier certification: CCN 05X0010062

Legal name

KUMARS PORTABLE XRAY INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

May 6, 2020

Last certification

May 6, 2020

Ownership / control type

Individual

Facility address

3621 Glencrest Dr
Modesto, CA 95355

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sant Kumar

  • Technician
  • Modesto, CA
  • NPI 1306310164
  NPD
• Sumeet Sant Kumar, RT

  • Radiologic Technologist
  • Modesto, CA
  • NPI 1093356040

  Single Specialty

  NPD

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1891332052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4978",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524978",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 GLENCREST DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953558431",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMARS PORTABLE XRAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-575-4575"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ21690Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KUMARS PORTABLE XRAY INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KUMARS PORTABLE XRAY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy Kumar, MS
• Sumeet Sant Kumar, RT
• Suvannah Kumar
• Vinay Kumar, PHARMD
• Grace Jennyfer Kumarapu, NP
• Mable Shyh-Wen Kuo-Boyer, LCSW
• Jorge Kurek, M.D.
• Anjol Kurian
• Abigail Marie Kurtz, PHARM.D.
• Brian Kurtz, MD

• Health Information Technician in Modesto, CA
• Providers in Modesto, CA by specialty
• Health Information Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.