Active NPI
Rory John Kamerman-Kretzmer, M.D.
- Pediatric Pulmonology Physician
- Sacramento, CA
National Provider Identifier
1295026862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- A123581
- Practice address
- 2516 Stockton Blvd
Sacramento, CA 95817 - Phone
- (916) 734-5177
- NPI assigned
- Apr 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A123581 | CA | |
| Pediatric Pulmonology Physician | 2080P0214X | A123581 | CA | Primary |
Addresses
Primary practice location
2516 Stockton Blvd
Sacramento, CA 95817
Mailing address
2516 Stockton Blvd
Sacramento, CA 95817-2208
Phone (916) 734-5177
Other names 1
- Rory Kretzmer
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123581 | CA | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104
2521 Stockton Blvd
Ste 3200
Sacramento, CA 95817
Phone (916) 734-3112
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Otolaryngology Physician
- Sacramento, CA
- NPI 1750374872
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1295026862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172208",
"telephone_number": "916-734-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95817",
"telephone_number": "916-734-5177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMERMAN-KRETZMER",
"first_name": "RORY",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-29",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A123581",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "CA",
"license": "A123581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RORY",
"last_name": "KRETZMER",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.