Organization Active NPI

Allen Kamrava, MD Mba Inc.

  • Medical Specialty Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1164776340
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A103694 Issued in CA
Legal business name
ALLEN KAMRAVA, MD MBA INC.
Practice address
435 N Bedford Dr Ste 308
Beverly Hills, CA 90210-4380
Phone
(424) 279-8222
Fax
(424) 279-8226
NPI assigned
Nov 9, 2012
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Dr. Allen Kamrava, M.D.NPI 1548416555
Title
President
Phone
(424) 279-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A103694 CA Primary

Addresses

Primary practice location

435 N Bedford Dr Ste 308
Beverly Hills, CA 90210-4380

Mailing address

435 N Bedford Dr Ste 308
Beverly Hills, CA 90210-4380
Phone (424) 279-8222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121126000249 CA Part B Supplier - Clinic/Group Practice 0042461030 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

435 N Bedford Dr
Ste 308
Beverly Hills, CA 90210
Phone (310) 274-6158

9001 Wilshire Blvd
Ste 104
Beverly Hills, CA 90211
Phone (310) 273-2686

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1164776340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR STE 308",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104380",
            "telephone_number": "424-279-8222",
            "fax_number": "424-279-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR STE 308",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104380",
            "telephone_number": "424-279-8222",
            "fax_number": "424-279-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN KAMRAVA, MD MBA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "KAMRAVA",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-279-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A103694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.