Individual provider Active NPI

Delaram Pour Molkara, M.D.

  • Pediatric Cardiology Physician
  • San Diego, CA
National Provider Identifier
1306074893
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A94039 Issued in CA
Practice address
2333 Camino del Rio S Ste 340
San Diego, CA 92108-3615
Phone
(619) 501-4015
Fax
(619) 501-2977
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A94309 CA
Pediatric Cardiology Physician 2080P0202X A94039 CA Primary

Addresses

Primary practice location

2333 Camino del Rio S Ste 340
San Diego, CA 92108-3615

Mailing address

3860 Calle Fortunada
Suite 210
San Diego, CA 92123-4800
Phone (858) 309-6290

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000638 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 4789852971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94039CAMDPediatric Cardiology Physician
A94309CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Cardiology of San Diego Pediatric Cardiology Current Accepting new patients
Rady Children'S Hospital San Diego Pediatrics CurrentSince Apr 10, 2011 Accepting new patients
Scripps Health Current Accepting new patients
Rady Children'S Hospital San Diego CurrentSince Apr 10, 2011 Accepting new patients
Marilyn Kaufhold, M.D., a Medical Corporation Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 757-3277

3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841

5755 Oberlin Dr
Ste 202
San Diego, CA 92121
Phone (619) 501-4015

3020 Childrens Way
#5004
San Diego, CA 92123
Phone (619) 446-7711

2333 Camino del Rio S
Ste 340
San Diego, CA 92108
Phone (619) 501-4015

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16774/brand/1/csg/1/fhir/r4
  • Direct secure messaging: delaram.pour.molkara.1@16774.direct.athenahealth.com
  • Direct secure messaging: dpourmolkara81469@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1306074893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 CALLE FORTUNADA",
            "address_2": "SUITE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234800",
            "telephone_number": "858-309-6290",
            "fax_number": "858-309-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DEL RIO S STE 340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083615",
            "telephone_number": "619-501-4015",
            "fax_number": "619-501-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUR MOLKARA",
        "first_name": "DELARAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A94309",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A94039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.