Active NPI
Kelvin Kasumba, PHD
- Diplomate Laboratory Management Specialist/Technologist
- Lawndale, CA
National Provider Identifier
1972740520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diplomate Laboratory Management Specialist/Technologist
- License
- MTA 40055
- Practice address
- 3818 W 157TH St
Lawndale, CA 90260-3501 - Phone
- (310) 230-5016
- NPI assigned
- Jan 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diplomate Laboratory Management Specialist/Technologist | 246QL0901X | MTA 40055 | CA | Primary |
Addresses
Primary practice location
3818 W 157TH St
Lawndale, CA 90260-3501
Mailing address
3818 W 157TH St
Lawndale, CA 90260-3501
Phone (310) 230-5016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTA 40055 | CA | MD | Diplomate Laboratory Management Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232236800000",
"number": "1972740520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3818 W 157TH ST",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902603501",
"telephone_number": "310-230-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3818 W 157TH ST",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902603501",
"telephone_number": "310-230-5016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASUMBA",
"first_name": "KELVIN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-18",
"last_updated": "2009-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "246QL0901X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Laboratory Management, Diplomate",
"state": "CA",
"license": "MTA 40055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawndale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.