Individual provider Active NPI

Neil Kamlesh Kamdar, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Emeryville, CA
National Provider Identifier
1093000226
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A144608 Issued in CA
Practice address
1335 Stanford Ave
Emeryville, CA 94608-2536
Phone
(510) 647-5101
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A144608 CA Primary

Addresses

Primary practice location

1335 Stanford Ave
Emeryville, CA 94608-2536

Mailing address

1335 Stanford Ave
Emeryville, CA 94608-2536
Phone (510) 647-5101

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
I20161129002772 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 6305126863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Rush Medical College of Rush University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain and Rehabilitative Consultants Medical GroupGroup PAC ID 0345138392, 7 clinicians

Practice addresses (Care Compare)

1335 Stanford Ave
Emeryville, CA 94608-2536
Phone (510) 647-5101

1640 W Yosemite Ave
Suite 2
Manteca, CA 95337-5192
Phone (510) 647-5101

20100 Lake Chabot Rd
Suite 2
Castro Valley, CA 94546-5301
Phone (510) 647-5101

3075 Citrus Cir
Suite 200
Walnut Creek, CA 94598-2667
Phone (925) 407-8100

5789 State Farm Dr
Suite 195
Rohnert Park, CA 94928-6310
Phone (510) 647-5101

87 Scripps Dr
Suite 200
Sacramento, CA 95825-6381
Phone (510) 647-5101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144608CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Rehabilitative Consultants Medical Group Pain Medicine CurrentSince Nov 7, 2016 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

20100 Lake Chabot Rd
Ste 2
Castro Valley, CA 94546
Phone (510) 581-1484

255 W Bullard Ave
Ste 113
Clovis, CA 93612
Phone (209) 298-7975

1335 Stanford Ave
Emeryville, CA 94608
Phone (510) 649-7000

13980 Blossom Hill Rd
Ste B
Los Gatos, CA 95032
Phone (408) 445-8400

1640 W Yosemite Ave
Ste 2
Manteca, CA 95337

345 Hickory St
Red Bluff, CA 96080
Phone (530) 529-4190

5789 State Farm Dr
Ste 195
Rohnert Park, CA 94928
Phone (707) 645-7210

87 Scripps Dr
Ste 200
Sacramento, CA 95825
Phone (916) 436-3015

3075 Citrus Cir
Ste 200
Walnut Creek, CA 94598
Phone (925) 407-8100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nkamdar370204@hisp.ehr.sutterhealth.org

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1093000226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 STANFORD AVE",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082536",
            "telephone_number": "510-647-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 STANFORD AVE",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082536",
            "telephone_number": "510-647-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMDAR",
        "first_name": "NEIL",
        "middle_name": "KAMLESH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A144608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.