Organization Active NPI

Kuramed Medical Group,Apc

  • Internal Medicine Physician
  • Montclair, CA
National Provider Identifier
1154076818
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KURAMED MEDICAL GROUP,APC
Practice address
4795 Holt Blvd # 210
Montclair, CA 91763-4714
Phone
(909) 544-1782
Fax
(909) 614-8548
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Mohitkumar Ardeshana, MD
Title
Owner
Phone
(909) 544-1782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4795 Holt Blvd # 210
Montclair, CA 91763-4714

Mailing address

4795 Holt Blvd # 211
Montclair, CA 91763-4714
Phone (909) 544-1782

Other names 1

  • KuraMed Mobile Group Doing business as

National Provider Directory

National Provider Directory

Locations

4795 Holt Blvd
#211
Montclair, CA 91763

4795 Holt Blvd
#210
Montclair, CA 91763
Phone (909) 541-5142

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1154076818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 HOLT BLVD # 211",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634714",
            "telephone_number": "909-544-1782",
            "fax_number": "909-614-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 HOLT BLVD # 210",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634714",
            "telephone_number": "909-544-1782",
            "fax_number": "909-614-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURAMED MEDICAL GROUP,APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "ARDESHANA",
        "authorized_official_first_name": "MOHITKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-544-1782",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KuraMed Mobile Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KuraMed Mobile Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.