Provider Profile

Kandavin Sumilat

Unclaimed Profile

About Kandavin Sumilat

Kandavin Sumilat is a nurse practitioner — family based in San Bernardino, CA. Medicare claims data shows Kandavin provided 61 services to 57 patients. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more and new patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Specialty

Nurse Practitioner — Family (Primary)

Credentials & Licensing

CA license95022634
NPI1609457753
NPI issued04/20/2021

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kandavin Sumilat?

Kandavin Sumilat is a nurse practitioner in San Bernardino, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

What is Kandavin Sumilat's address?

Kandavin Sumilat is listed at 2195 Club Center Dr Ste A, San Bernardino, CA 92408. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kandavin Sumilat?

The number on file is (909) 654-2119. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Kandavin Sumilat?

Kandavin Sumilat's National Provider Identifier is 1609457753. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Kandavin Sumilat have?

Kandavin Sumilat has 5+ years experience. Registered with an NPI since 2021. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

What procedures does Kandavin Sumilat perform?

According to Medicare billing data, Kandavin Sumilat the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Kandavin Sumilat's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Kandavin Sumilat. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.