Organization Active NPI

Stuart Kramer MD a Medical Corp

  • Clinic/Center
  • San Diego, CA
National Provider Identifier
1235390675
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G18896 Issued in CA
Legal business name
STUART KRAMER MD A MEDICAL CORP
Practice address
3200 4TH Ave Ste 100
San Diego, CA 92103-5716
Phone
(619) 293-3995
Fax
(619) 295-5863
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Stuart Kramer, MD
Title
MD
Phone
(619) 293-3995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G18896 CA Primary

Addresses

Primary practice location

3200 4TH Ave Ste 100
San Diego, CA 92103-5716

Mailing address

19730 Ventura Blvd # 3104
Woodland Hills, CA 91364-2625
Phone (818) 716-5179

National Provider Directory

National Provider Directory
Tax ID family
Stuart Kramer MD a Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19730 Ventura Blvd
#3104
Woodland Hills, CA 91364

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1235390675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19730 VENTURA BLVD # 3104",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642625",
            "telephone_number": "818-716-5179",
            "fax_number": "818-716-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 4TH AVE STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035716",
            "telephone_number": "619-293-3995",
            "fax_number": "619-295-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART KRAMER MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "619-293-3995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G18896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.