NPIMap

Individual provider Active NPI

Kameron Graham, FNP-C

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1194316588
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95016555 Issued in CA
Practice address
2238 Geary Blvd
San Francisco, CA 94115-3416
Phone
(415) 833-2000
NPI assigned
Jan 29, 2021
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95016555 CA Primary

Addresses

Primary practice location

2238 Geary Blvd
San Francisco, CA 94115-3416

Mailing address

2238 Geary Blvd
San Francisco, CA 94115-3416
Phone (415) 833-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210319001686 CA Practitioner - Nurse Practitioner 1052728953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

520 W I St
Los Banos, CA 93635-3419
Phone (209) 826-0591

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Wellspace Health CurrentSince Mar 1, 2021 Accepting new patients
Wellspace Health Current Accepting new patients
Cep America - California CurrentSince Aug 1, 2024 Accepting new patients
City and County of San Francisco CurrentSince Aug 25, 2025 Accepting new patients
Cep America-California CurrentSince Aug 1, 2024 Accepting new patients
City & County of San Francisco CurrentSince Aug 25, 2025 Accepting new patients
Wellspace Health CurrentSince Mar 1, 2021 Accepting new patients
City & County of San Francisco Current Accepting new patients
Action Urgent Care Inc PastSince Aug 1, 2021 Accepting new patients
St Anthony Foundation PastSince Feb 1, 2022 Accepting new patients

Locations

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5 Medical Plaza Dr
Ste 170
Roseville, CA 95661
Phone (916) 469-4690

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24970/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kgraham527340@direct.ochin.org
  • Direct secure messaging: kgraham691339@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1194316588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153416",
            "telephone_number": "415-833-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153416",
            "telephone_number": "415-833-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KAMERON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-29",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.