NPIMap

Individual provider Active NPI

Nishchal Kumar, M.D.

  • Family Medicine Physician
  • Tustin, CA
National Provider Identifier
1962712729
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A128234 Issued in CA
Practice address
250 El Camino Real Ste 209
Tustin, CA 92780-3656
Phone
(714) 533-1234
Fax
(714) 991-1782
NPI assigned
Oct 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A128234 CA Primary

Addresses

Primary practice location

250 El Camino Real Ste 209
Tustin, CA 92780-3656

Mailing address

3972 Barranca Pkwy # J135
Irvine, CA 92606-1204
Phone (714) 533-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150123000946 CA Practitioner - Family Practice 6103140041 Reassigns benefits to 4 organizations
Practice locations: Anaheim, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians
GN Medical Associates, IncGroup PAC ID 5092605816, 40 clinicians
Careconnectmd Ca PCGroup PAC ID 5496178055, 30 clinicians

Practice addresses (Care Compare)

23512 Madero
Mission Viejo, CA 92691-2743
Phone (949) 583-1600

3090 Bristol St
Suite 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128234CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Primary Care Physicians Family Medicine Current Accepting new patients
Care Partners California Medical PC CurrentSince Aug 1, 2025 Accepting new patients
GN Medical Associates, Inc. Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Careconnectmd Ca PC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Memorialcare Medical Foundation Family Medicine CurrentSince Oct 15, 2019 Accepting new patients
Wound Solutions of California PastSince Jun 1, 2025 Accepting new patients
West Anaheim Family Physicians, Inc. PastSince Mar 24, 2025 Accepting new patients
Prohealth Partners a Medical Group Inc Family Medicine Past Accepting new patients
Pediatric Subspecialty Faculty, Inc. Past Accepting new patients

Locations

495 E Rincon St
Ste 105
Corona, CA 92879
Phone (888) 969-9808

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

23512 Madero
Mission Viejo, CA 92691
Phone (949) 583-1600

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

250 El Camino Real
Ste 209
Tustin, CA 92780
Phone (714) 533-1234

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nkumar557836@direct.memorialcare.org

Organizations & group practices 9

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1962712729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 BARRANCA PKWY # J135",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061204",
            "telephone_number": "714-533-1234",
            "fax_number": "714-991-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL STE 209",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803656",
            "telephone_number": "714-533-1234",
            "fax_number": "714-991-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "NISHCHAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A128234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.