MEDICARE: VINOD KUMAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	A49366	CA
2	207UN0901X	Nuclear Cardiology Physician	A49366	CA
3	246XC2901X	Cardiovascular Invasive Specialist/Technologist	A49366	CA
4	246XC2903X	Vascular Specialist/Technologist Cardiovascular	A49366	CA
5	207RC0000X	Cardiovascular Disease Physician	A49366	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A493661	OTHER	CA	MEDICARE PTAN

General Provider Information

NPI Number	:	1730142993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINOD KUMAR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 748792
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90074-8792
Country	:	US
Telephone Number	:	661-324-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	5020 COMMERCE DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309
Country	:	US
Telephone Number	:	661-324-4100
Fax Number	:	661-324-4600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	05/15/2024

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