Active NPI
Tara Karamlou, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- A122317
- Practice address
- 3020 Childrens Way
San Diego, CA 92123 - Phone
- (858) 966-8030
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LL16407 | OR | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD60170969 | WA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 52453 | AZ | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A122317 | CA | Primary |
Addresses
Primary practice location
3020 Childrens Way
San Diego, CA 92123
Mailing address
3020 Childrens Way # Mc5078
San Diego, CA 92123-4223
Phone (503) 481-8556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL16407 | OR | MD | Surgery Physician |
| A122317 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Current | Accepting new patients | |
| Akron Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital Medical Center | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients |
Locations
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
3341 Solutions Ctr
Chicago, IL 60677
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
Interoperability endpoints
- tkaramlou99277@direct.chmca.org
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
-
- Children's Hospital
- Akron, OH
- NPI 1942465752
-
- Anesthesiology Physician
- Boardman, OH
- NPI 1417257601
-
- Home Infusion Agency
- Akron, OH
- NPI 1649485848
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1053512186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5078",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "503-481-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123",
"telephone_number": "858-966-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARAMLOU",
"first_name": "TARA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "LL16407",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WA",
"license": "MD60170969",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AZ",
"license": "52453",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A122317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.