| Ms Kara A Cummins, MD | |
|
5475 E La Palma Ave, Ste. 201, Anaheim, CA 92807-2075 | |
| (888) 988-2800 | |
| Not Available |
| Full Name | Ms Kara A Cummins |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 5475 E La Palma Ave, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740399534 | NPI | - | NPPES |
| 036109222 | Medicaid | IL | |
| 036109222 | Other | IL | IL STATE LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036109222 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | C55047 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kara A Cummins, MD 5475 E La Palma Ave, Ste. 201, Anaheim, CA 92807-2075 Ph: () - | Ms Kara A Cummins, MD 5475 E La Palma Ave, Ste. 201, Anaheim, CA 92807-2075 Ph: (888) 988-2800 |
Dino A. Imperial, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Lance C. Brunner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Marites Mcmurtrey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Steven Chao, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 408 S Beach Blvd, Suite 106, Anaheim, CA 92804 Phone: 714-995-5471 Fax: 714-995-5815 | |
Edmond K Chu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3055 W Orange Ave Ste 202, Anaheim, CA 92804 Phone: 714-952-0203 Fax: 714-952-1387 | |
Warren U. Wong, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Jeff D. Tracy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 |