Organization Active NPI

Vasanth K Kumar M D Inc

  • Hematology & Oncology Physician
  • La Canada, CA
National Provider Identifier
1962724187
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A32885 Issued in CA
Legal business name
VASANTH K KUMAR M D INC
Practice address
5245 Vista Lejana LN
La Canada, CA 91011-1860
Phone
(213) 595-6383
NPI assigned
Feb 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Vasanth Kukkala Kumar, M D
Title
Owner
Phone
(213) 595-6383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X A32885 CA Primary

Addresses

Primary practice location

5245 Vista Lejana LN
La Canada, CA 91011-1860

Mailing address

5245 Vista Lejana LN
La Canada, CA 91011-1860
Phone (213) 595-6383

Other identifiers 2

IdentifierTypeStateIssuer
1689657496OtherCANPI
00A328850MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1962724187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 VISTA LEJANA LN",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111860",
            "telephone_number": "213-595-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 VISTA LEJANA LN",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111860",
            "telephone_number": "213-595-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASANTH K KUMAR M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "VASANTH",
        "authorized_official_middle_name": "KUKKALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-595-6383",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A32885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689657496",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A328850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.