Kamran Ghadimi, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A50028 Issued in CA

Practice address

1412 W 7TH St
San Pedro, CA 90732-3507

Phone

(310) 548-5481

Fax

(310) 548-5000

NPI assigned

Sep 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Little Co of Mary Med Ctr San Pedro Hospital, San Pedro, CA, CCN 050078

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Pain Treatment Medical Center

  • Pain Clinic/Center
  • San Pedro, CA
  • NPI 1972715621
  NPD (past) Authorized official
• Advanced Pain Treatment Medical Center, Inc.

  • Pain Clinic/Center
  • San Pedro, CA
  • NPI 1306021159
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health System - Southern California

  dba Providence Little Company of Mary Medical Center San Pedro OBHC

  • General Acute Care Hospital
  • San Pedro, CA
  • NPI 1497241541
  Care Compare affiliation
• Providence Health System - Southern California

  dba Providence Little Company of Mary Medical Center San Pedro

  • General Acute Care Hospital
  • San Pedro, CA
  • NPI 1942247291
  Care Compare affiliation

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174615629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323507",
            "telephone_number": "310-548-5481",
            "fax_number": "310-548-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323507",
            "telephone_number": "310-548-5481",
            "fax_number": "310-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHADIMI",
        "first_name": "KAMRAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A50028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A500280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Lenore Garrett, DPT
• Gabriella Garza, NURSE PRACTITIONER
• Cynthia Susan Gauhan
• Madeline Gavranich, CRNP, RN
• Aimee Gerovac
• Ghassemi Chiropractic Corp, Apc (San Pedro Chiropractic and Posture)
• Ghio and Associates Inc
• Ghio Marriage and Family Therapy Services
• Andrea Ghio, M.S.
• Dario Ghio, MFT INTERN

• Pain Medicine (Anesthesiology) Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.