Organization Active NPI

David S Kramer MD a Professional Corporation

  • Cardiovascular Disease Physician
  • Anaheim, CA
National Provider Identifier
1306011150
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G49359 Issued in CA
Legal business name
DAVID S KRAMER MD A PROFESSIONAL CORPORATION
Practice address
3356 W Ball Rd
Suite 206
Anaheim, CA 92804-3702
Phone
(714) 827-8890
Fax
(714) 827-8905
NPI assigned
Apr 23, 2008
Last updated
Oct 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
David S Kramer, MDNPI 1407845886
Title
Owner Provider
Phone
(714) 827-8890

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
Cardiovascular Disease Physician 207RC0000X G49359 CA Primary

Addresses

Primary practice location

3356 W Ball Rd
Suite 206
Anaheim, CA 92804-3702

Mailing address

6575 Churchill Dr
Huntington Beach, CA 92648-1513
Phone (714) 827-8890

Other identifiers 1

IdentifierTypeStateIssuer
00G493591MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105001053 CA Part B Supplier - Clinic/Group Practice 0345203717 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA; Garden Grove, CA; Gardena, CA; Anaheim, CA; Hawaiian Gardens, CA; Huntington Beach, CA; Murrieta, CA; Norwalk, CA…

National Provider Directory

National Provider Directory
Tax ID family
David S Kramer MD a Professional Corporation2 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

3356 W Ball Rd
Ste 206
Anaheim, CA 92804
Phone (714) 527-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1306011150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 CHURCHILL DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481513",
            "telephone_number": "714-827-8890",
            "fax_number": "714-827-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 W BALL RD",
            "address_2": "SUITE 206",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043702",
            "telephone_number": "714-827-8890",
            "fax_number": "714-827-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S KRAMER MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "714-827-8890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G49359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G493591",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.