DR. SANUSI HAMBALI UMAR M.D.
NPI 1982797593
Dermatology in Redondo Beach, CA

Active since October 02, 2006PECOS Enrolled
819 N HARBOR DR, SUITE 400, REDONDO BEACH, CA 90277(310) 480-0490(310) 318-1590 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sanusi Hambali Umar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANUSI HAMBALI UMAR M.D. (NPI 1982797593) is an individual dermatology provider in Redondo Beach, California, licensed in California (A067317) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982797593
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. SANUSI HAMBALI UMARCredential: M.D.
Location Address819 N HARBOR DR, SUITE 400Redondo Beach, CA 90277-2006
Mailing Address819 N Harbor Dr, Suite 400Redondo Beach, CA 90277-2006 · (310) 480-0490 · Fax (310) 318-1590
Fax(310) 318-1590
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateDecember 11, 2008
NPI 1982797593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A067317
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License A067317 (CA)
819 N HARBOR DR, Redondo Beach, CA 90277

Other Identifiers 2

OtherA067317CA · California State License
Medicare UPING75373CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sanusi Hambali Umar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
819 N HARBOR DR, SUITE 310
REDONDO BEACH, CA 90277
Chiropractor
819 N HARBOR DR
REDONDO BEACH, CA 90277
Social Worker (Clinical)
819 N HARBOR DR, SUITE 330
REDONDO BEACH, CA 90277
Chiropractor (Radiology)
819 N HARBOR DR
REDONDO BEACH, CA 90277
Chiropractor
819 N HARBOR DR, SUITE A-100
REDONDO BEACH, CA 90277
Preventive Medicine (Public Health & General Preventive Medicine)
819 N HARBOR DR, SUITE 310
REDONDO BEACH, CA 90277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanusi Umar's NPI number?

The NPI number for Sanusi Umar is 1982797593. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Sanusi Umar located?

Sanusi Umar practices at 819 N Harbor Dr Suite 400, Redondo Beach, CA 90277. The listed phone number is (310) 480-0490.

What is Sanusi Umar's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Sanusi Umar enrolled in Medicare?

Yes. Sanusi Umar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sanusi Umar was last updated on December 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.