Organization Active NPI

Kamran C. Rabbani, MD a Medical Corporation

  • Internal Medicine Physician
  • Encino, CA
National Provider Identifier
1295955763
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70167 Issued in CA
Legal business name
KAMRAN C. RABBANI, MD A MEDICAL CORPORATION
Practice address
5363 Balboa Blvd
Suite 542
Encino, CA 91316-2853
Phone
(818) 788-9200
Fax
(818) 788-9621
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Kamran C Rabbani, MDNPI 1053438622
Title
Owner
Phone
(818) 788-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A70167 CA Primary

Addresses

Primary practice location

5363 Balboa Blvd
Suite 542
Encino, CA 91316-2853

Mailing address

5363 Balboa Blvd
Suite 542
Encino, CA 91316-2853
Phone (818) 788-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100825000975 CA Part B Supplier - Clinic/Group Practice 8729102991 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Locations

5363 Balboa Blvd
Ste 542
Encino, CA 91316
Phone (818) 788-9200

16661 Ventura Blvd
Ste 810
Encino, CA 91436
Phone (818) 788-9200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1295955763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD",
            "address_2": "SUITE 542",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162853",
            "telephone_number": "818-788-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD",
            "address_2": "SUITE 542",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162853",
            "telephone_number": "818-788-9200",
            "fax_number": "818-788-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMRAN C. RABBANI, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "RABBANI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-788-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.