Kandavin Sumilat
Nurse Practitioner - Family
2195 Club Center Dr Ste A, San Bernardino
California, 92408-4162
909-654-2119
Kandavin Sumilat is a San Bernardino, California based nurse practitioner who is specialized as Family NP. Active license number of Kandavin Sumilat is 95022634 for Family NP in California. Her current practice location is 2195 Club Center Dr Ste A, San Bernardino. Patients can reach her at 909-654-2119 with specialization in Family NP and her NPI number (Unique professional ID assigned by NPPES) is 1609457753.
Kandavin Sumilat delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Kandavin Sumilat speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kandavin Sumilat |
| Specialization: | Nurse Practitioner - Family (FNP) |
| Gender: | Female |
| Practice Address: | 2195 Club Center Dr Ste A, San Bernardino,
California, 92408-4162 |
| Phone: | 909-654-2119 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1609457753 |
| NPI Enumeration Date: | 20 Apr, 2021 |
| NPI Last Update On: | 09 Jun, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kandavin Sumilat are as mentioned below.
| License Number | Specialization | State | Status | |
| 95022634 | Family NP | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kandavin Sumilat
Po Box 10069,
San Bernardino, California |
| Zip: | 92423-0069 |
| Phone Number: | 909-335-4188 |
Patients can reach Kandavin Sumilat at
2195 Club Center Dr Ste A, San Bernardino, California or can
call to book an appointment on 909-654-2119.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.