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Kusumo Sumardi, D.D.S.
NPI 1811037435 · General Practice Dentistry · La Verne, CA
Kusumo Sumardi, D.D.S. is a General Practice Dentistry provider in La Verne, CA (NPI 1811037435).
Provider details
- NPI number
- 1811037435
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 41680 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1965 Foothill Blvd
Suite L
La Verne, CA 91750-3502
Phone: (909) 596-6500
Fax: (909) 596-8809
Street-level locationGet directions
Mailing address
3870 Grand Ave
Claremont, CA 91711-1454
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kusumo Sumardi's NPI number?
- Kusumo Sumardi's National Provider Identifier (NPI) is 1811037435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kusumo Sumardi's specialty?
- Kusumo Sumardi is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Kusumo Sumardi located?
- Kusumo Sumardi's practice location on file with NPPES is 1965 Foothill Blvd, La Verne, CA 91750-3502.
- What is Kusumo Sumardi's phone number?
- The practice phone number listed in the NPPES registry for Kusumo Sumardi is (909) 596-6500.
- Is Kusumo Sumardi's NPI active?
- Yes — Kusumo Sumardi's NPI (1811037435) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.