Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kandavin Sumilat

Family Nurse Practitioner in San Bernardino, CA · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609457753

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Registry record

Entity type Individual (Type 1)

Name Kandavin Sumilat

Sex Female

Practice address 2195 Club Center Dr Ste A, San Bernardino, CA, 92408

Phone (909) 654-2119

Enumeration date Apr 20, 2021

Last updated in NPPES Jun 9, 2026

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 95022634 (CA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kandavin Sumilat practice?

The practice location on file with NPPES is in San Bernardino, CA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kandavin Sumilat?

The National Provider Identifier (NPI) for Kandavin Sumilat is 1609457753, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-09.