DR. PRASHANTH VASANTHA KUMAR (NPI# 1821293382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821293382 |
| Entity Type | Individual |
| Full Name | DR. PRASHANTH VASANTHA KUMAR |
| Credential | M.D. |
| Practice Address |
12675 Hesperia Rd Victorville CA 92395-5878 |
| Practice Telephone | 7602413306 |
| Practice Fax Number | 7602415037 |
| Mailing Telephone | 7602413306 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2011-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A102091 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A102091 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | BL408Z | 01 | |
| CA | DEA | FK0742684 | 01 |
| CA | MEDICARE GROUP | ZZZ26953Z | 01 |
| Street Address |
12675 HESPERIA RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-5878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306881099 | Hosameldin Madkour | Internal Medicine | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-06-18 |
| 1255785564 | Clinton Ellis Browning | Dietitian, Registered | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2016-04-22 |
| 1801154380 | Opeyemi Oladele | Internal Medicine | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2012-05-02 |
| 1669534970 | Patricia Jane Ebbecke | Nurse Practitioner | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-12-14 |
| 1023182763 | Om Parkash Sood | Internal Medicine | 12675 Hesperia Rd, Suite 101, Victorville, CA 92395-5878 | 2006-11-17 |
| 1164431318 | Jay Eriah Shankar | Internal Medicine | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-08-05 |
| 1063421212 | Jamboor Medical Corporation | Clinic/Center | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-08-05 |
| 1407865652 | High Desert Nephrology Medical Associates, Inc. | Internal Medicine | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-08-05 |
| 1366479222 | Harkala Janardhan | Specialist | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730646266 | High Desert Nephrology Medical Associates Inc. | Internal Medicine | 11883 Amethyst Road Ste # 100, Victorville, CA 92392-9224 | 2019-02-20 |
| 1972919983 | Pooja Tanjavour | Internal Medicine | 12276 Hesperia Rd Ste D, Victorville, CA 92395-5838 | 2014-07-10 |
| 1306881099 | Hosameldin Madkour | Internal Medicine | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-06-18 |
| 1235127515 | Edgard Mario Vera Tapia | Internal Medicine | 17207 Jasmine St, 2, Victorville, CA 92395 | 2005-10-11 |
| 1801154380 | Opeyemi Oladele | Internal Medicine | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2012-05-02 |
| 1871734921 | Edgard M. Vera, Md,inc. | Internal Medicine | 17207 Jasmine St, 2, Victorville, CA 92395 | 2009-03-19 |
| 1992891956 | Sheila Cherian | Internal Medicine | 17207 Jasmine St, 2, Victorville, CA 92395 | 2006-10-05 |
| 1407865652 | High Desert Nephrology Medical Associates, Inc. | Internal Medicine | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-08-05 |
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| 1538774989 | Modern Telehealth | Internal Medicine | 1509 Espinosa Cir, Palos Verdes Estates, CA 90274-1917 | 2020-09-12 |
| 1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.