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

Sumati Bavisetty, MD

Individual provider Internal Medicine Physician · NPI 1619234960

Sumati Bavisetty, MD is an Internal Medicine in Pomona, California. Graduated from University of California, Irvine, California College of Medicine in 2010, 16 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
16
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA
In the registry since
2012
Specialties on file
2
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

1818 N Orange Grove Ave Ste # 204
Pomona, CA 91767-3028
Phone: (909) 620-7200
Fax: (909) 620-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A120743 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A120743 (CA)

Record details

NPI number1619234960
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2012
Last updated in NPPESDecember 8, 2021
Certification dateJune 1, 2020
Mailing address5601 De Soto Ave, Hospitalist Office, 2nd Floor, Woodland Hills, CA 91367-6701

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesGENERAL PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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