Active NPI
Khurram Mumtaz, M.D.
- Nephrology Physician
- Oroville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- C153915
- Practice address
- 2450 Oro Dam Blvd E
Oroville, CA 95966-6052 - Phone
- (530) 712-2171
- Fax
- (530) 712-2149
- NPI assigned
- Jul 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | C153915 | CA | Primary |
Addresses
Primary practice location
2450 Oro Dam Blvd E
Oroville, CA 95966-6052
Mailing address
2450 Oro Dam Blvd E
Oroville, CA 95966-6052
Phone (530) 712-2171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00354398 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2450 Oro Dam Blvd E
Oroville, CA 95966-6052
Phone (530) 538-3171
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C153915 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orohealth Corporation a Non Profit Healthcare System | Current | Accepting new patients | |
| Coachella Valley Nephrology Inc | Nephrology | Current | Accepting new patients |
Locations
81719 Doctor Carreon Blvd
Indio, CA 92201
Phone (760) 342-6216
81709 Doctor Carreon Blvd
Ste A
Indio, CA 92201
81719 Doctor Carreon Blvd
Ste A
Indio, CA 92201
Phone (760) 347-0707
43576 Washington St
Ste 100
La Quinta, CA 92253
Phone (760) 347-0707
43576 Washington St
#E100
La Quinta, CA 92253
2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544
2450 Oro Dam Blvd E
Oroville, CA 95966
Phone (530) 712-2128
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Family Medicine Physician
- Oroville, CA
- NPI 1013933167
-
- Nephrology Physician
- La Quinta, CA
- NPI 1871832543
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
-
- General Acute Care Hospital
- Indio, CA
- NPI 1477584993
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1093979437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 ORO DAM BLVD E",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959666052",
"telephone_number": "530-712-2171",
"fax_number": "530-712-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 ORO DAM BLVD E",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959666052",
"telephone_number": "530-712-2171",
"fax_number": "530-712-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUMTAZ",
"first_name": "KHURRAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-15",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "C153915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00354398",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.
- 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.