Individual provider Active NPI

Kamran Hussain Imam, MD

  • Allergy & Immunology Physician
  • Riverside, CA
National Provider Identifier
1013495431
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A173489 Issued in CA
Practice address
3600 Lime St Ste 516
Riverside, CA 92501-0944
Phone
(951) 367-1060
NPI assigned
Jul 30, 2018
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X A173489 CA
Allergy & Immunology Physician 207K00000X A173489 CA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A173489 CA

Addresses

Primary practice location

3600 Lime St Ste 516
Riverside, CA 92501-0944

Mailing address

18111 Brookhurst St # 6700
Fountain Valley, CA 92708-6728
Phone (714) 688-1820

Other practice location 1

1400 Reynolds Ave Ste 160
Irvine, CA 92614-5515
Phone (909) 342-4916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A173489CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imam Allergy & Immunology Allergy & Immunology CurrentSince Jul 28, 2025 Accepting new patients
Shams Iqbal Inc PastSince Jul 22, 2025 Accepting new patients

Locations

1400 Reynolds Ave
Ste 160
Irvine, CA 92614
Phone (909) 342-4916

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1013495431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST # 6700",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-688-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LIME ST STE 516",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925010944",
            "telephone_number": "951-367-1060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Reynolds Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926145515",
            "country_code": "US",
            "telephone_number": "909-342-4916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMAM",
        "first_name": "KAMRAN",
        "middle_name": "HUSSAIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "A173489",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A173489",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A173489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.