Individual provider Active NPI

Kurt Tamaru, M.D.

  • Family Medicine Physician
  • Camarillo, CA
National Provider Identifier
1134167356
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G78291 Issued in CA
Practice address
2475 Ventura Blvd
Camarillo, CA 93010-6650
Phone
(805) 991-0202
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G78291 CA Primary

Addresses

Primary practice location

2475 Ventura Blvd
Camarillo, CA 93010-6650

Mailing address

2475 E Ventura Blvd
Attention: Office Manager
Camarillo, CA 93010
Phone (805) 991-0202

Other practice location 1

15651 Imperial Hwy Ste 105
Attention: Maggie Noles
LA Mirada, CA 90638-1600
Phone (562) 943-7219

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
I20050810000840 CA Practitioner - Family Practice 2163451097 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G78291CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guardiant Health Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
Guardiant Health PC Family Medicine Past Accepting new patients
Caremore Medical Group Family Medicine Past Accepting new patients
Rubin and McNamara MDS Inc Past Accepting new patients
Mochi Medical Ca PC Past Accepting new patients
Caremore Medical Group Inc Family Medicine Past Accepting new patients

Locations

2485 Ventura Blvd
Camarillo, CA 93010
Phone (714) 453-7047

887 Patriot Dr
Ste B
Moorpark, CA 93021
Phone (805) 364-0889

5325 N Commerce Ave
Ste 2
Moorpark, CA 93021
Phone (805) 364-0889

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1134167356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 E VENTURA BLVD",
            "address_2": "ATTENTION: OFFICE MANAGER",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93010",
            "telephone_number": "805-991-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 VENTURA BLVD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106650",
            "telephone_number": "805-991-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15651 Imperial Hwy Ste 105",
            "address_2": "Attention: Maggie Noles",
            "address_purpose": "LOCATION",
            "city": "LA Mirada",
            "state": "CA",
            "postal_code": "906381600",
            "country_code": "US",
            "telephone_number": "562-943-7219",
            "fax_number": "562-943-2684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMARU",
        "first_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G78291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.