Healthcare Provider Details

I. General information

NPI: 1528044757
Provider Name (Legal Business Name): SANKAR KUMAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 J ST STE 380
SACRAMENTO CA
95819-3671
US

IV. Provider business mailing address

5707 EBBSHORE ST
SACRAMENTO CA
95835-2364
US

V. Phone/Fax

Practice location:
  • Phone: 916-733-4100
  • Fax:
Mailing address:
  • Phone: 530-220-6557
  • Fax: 530-759-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberA75852
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: