NPIMap

Organization Active NPI

Kamras and Polansky Medical Corporation

Doing business as Camellia Women's Health

  • Obstetrics & Gynecology Physician
  • Carmichael, CA
National Provider Identifier
1073578134
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
KAMRAS AND POLANSKY MEDICAL CORPORATION
Doing business as
Camellia Women's Health
Practice address
5821 Jameson CT
Carmichael, CA 95608-0820
Phone
(916) 486-0411
Fax
(916) 486-0525
NPI assigned
Apr 19, 2006
Last updated
Oct 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Patty Payne
Title
Practice Administrator
Phone
(916) 486-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

5821 Jameson CT
Carmichael, CA 95608-0820

Mailing address

5821 Jameson CT
Carmichael, CA 95608-0820
Phone (916) 486-0411

Other names 1

  • CAMELLIA WOMEN'S HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819000812 CA Part B Supplier - Clinic/Group Practice 3072586742 Receives reassigned benefits from 17 practitioners
Practice locations: Sacramento, CA; Granite Bay, CA; Carmichael, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0613485Kamras & Polansky Medical Corporation5821 Jameson Court, Carmichael, CA 95608Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2288 Auburn Blvd
Ste 101
Sacramento, CA 95821
Phone (916) 640-8161

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1073578134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080820",
            "telephone_number": "916-486-0411",
            "fax_number": "916-486-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080820",
            "telephone_number": "916-486-0411",
            "fax_number": "916-486-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMRAS AND POLANSKY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "916-486-0411"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMELLIA WOMEN'S HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.