Healthcare Provider Details

I. General information

NPI: 1508793449
Provider Name (Legal Business Name): DYS KUMAR A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N HIGHLAND SPRINGS AVE
BANNING CA
92220-3046
US

IV. Provider business mailing address

2108 N ST # 15013
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 951-612-0999
  • Fax:
Mailing address:
  • Phone: 951-612-0999
  • Fax: 573-240-9805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: SAURABH KUMAR
Title or Position: PRESIDENT
Credential: MD
Phone: 573-366-6572