Active NPI
Kamran Hussain Imam, MD
- Allergy & Immunology Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A173489
- Practice address
- 3600 Lime St Ste 516
Riverside, CA 92501-0944 - Phone
- (951) 367-1060
- NPI assigned
- Jul 30, 2018
- Last updated
- Aug 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A173489 | CA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imam Allergy & Immunology | Allergy & Immunology | Current | Accepting new patients |
| Shams Iqbal Inc | Past | 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.
-
- Allergy & Immunology Physician
- Anaheim, CA
- NPI 1467344671
-
dba Asthma and Allergy Medica,L Group
- Allergy Physician
- Riverside, CA
- NPI 1114041316
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.