Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kandavin Sumilat

Individual provider Family Nurse Practitioner · NPI 1609457753

Kandavin Sumilat is a Family Nurse Practitioner in San Bernardino, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

2195 Club Center Dr Ste A
San Bernardino, CA 92408-4162
Phone: (909) 654-2119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95022634 (CA)

Record details

NPI number1609457753
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

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