Individual provider Active NPI

Sandra Kamiak, M.D.

  • Family Medicine Physician
  • Saratoga, CA
National Provider Identifier
1033267240
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G-37877 Issued in CA
Practice address
14583 Big Basin Way
Unit 3B
Saratoga, CA 95070-6072
Phone
(408) 741-1332
Fax
(408) 741-5791
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G-37877 CA Primary
Psychiatry Physician 2084P0800X G-37877 CA

Addresses

Primary practice location

14583 Big Basin Way
Unit 3B
Saratoga, CA 95070-6072

Mailing address

14583 Big Basin Way
Unit 3B
Saratoga, CA 95070-6072
Phone (408) 741-1332

Other identifiers 1

IdentifierTypeStateIssuer
G-37877OtherCACA. PHYSICIAN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090605000309 CA Practitioner - PsychiatryPractitioner - Preventive Medicine 9830249259 Reassigns benefits to 1 organization
Practice locations: Saratoga, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rush Medical College of Rush University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope ServicesGroup PAC ID 5597716233, 29 clinicians

Practice addresses (Care Compare)

1555 Parkmoor Ave
San Jose, CA 95128-2407
Phone (408) 282-0402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G-37877CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Services CurrentSince Mar 12, 2009 Accepting new patients
Hope Services CurrentSince Mar 20, 2022 Accepting new patients

Locations

1555 Parkmoor Ave
San Jose, CA 95128
Phone (408) 282-0402

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1033267240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14583 BIG BASIN WAY",
            "address_2": "UNIT 3B",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706072",
            "telephone_number": "408-741-1332",
            "fax_number": "408-741-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14583 BIG BASIN WAY",
            "address_2": "UNIT 3B",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706072",
            "telephone_number": "408-741-1332",
            "fax_number": "408-741-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIAK",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G-37877",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G-37877",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA. PHYSICIAN LICENSE",
            "identifier": "G-37877",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

Verify at the official NPI Registry.