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

Individual provider Cardiovascular Disease Physician · NPI 1730648882

Revathy Sampath-Kumar, MD is a Cardiovascular Disease (Cardiology) in San Diego, California. Graduated from Wake Forest University School of Medicine in 2015, 11 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
11
Trained at
Wake Forest University School of Medicine
Licensed in
CA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9434 Medical Center Dr, La Jolla, CA 92037-1337 — (800) 926-8276

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence A177307 (CA)

Record details

NPI number1730648882
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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