Organization Active NPI

Kamron Mirkarimi, MD Inc

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1285925396
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A105651 Issued in CA
Legal business name
KAMRON MIRKARIMI, MD INC
Practice address
3863 Clairemont Dr
San Diego, CA 92117-5831
Phone
(858) 483-5570
Fax
(858) 483-5572
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Dr. Kamron Mirkarimi, INTERNAL MEDICINE
Title
MD
Phone
(858) 483-5570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A105651 CA Primary

Addresses

Primary practice location

3863 Clairemont Dr
San Diego, CA 92117-5831

Mailing address

3863 Clairemont Dr
San Diego, CA 92117-5831
Phone (858) 483-5570

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1285925396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175831",
            "telephone_number": "858-483-5570",
            "fax_number": "858-483-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175831",
            "telephone_number": "858-483-5570",
            "fax_number": "858-483-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMRON MIRKARIMI, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "MIRKARIMI",
        "authorized_official_first_name": "KAMRON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "858-483-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "INTERNAL MEDICINE"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A105651",
            "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 Feb 24, 2014; 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.