Individual provider Active NPI

Udaya Ramadas Kamath, M.D.

  • Pediatrics Physician
  • Apple Valley, CA
National Provider Identifier
1346204104
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A50460 Issued in CA
Practice address
18564 US Highway 18
Suite 103 & 104
Apple Valley, CA 92307-2312
Phone
(760) 946-4840
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A50460 CA Primary

Addresses

Primary practice location

18564 US Highway 18
Suite 103 & 104
Apple Valley, CA 92307-2312

Mailing address

19809 Seneca Rd
Apple Valley, CA 92307-5519
Phone (760) 946-4840

Other identifiers 3

IdentifierTypeStateIssuer
00A504600MedicaidCA
F80832OtherCAUPIN
ZZZ61434ZOtherCABLUE CROSS/SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A50460CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ram K Kamath M D Inc. Pediatrics Current Accepting new patients
Town Center Plaza Urgent Care Inc Past Accepting new patients
Ram K. Kamath, M.D., Inc. Past Accepting new patients

Locations

18564 US Highway 18
Ste 103
Apple Valley, CA 92307
Phone (760) 242-9262

19015 Town Center Dr
Ste 101
Apple Valley, CA 92308
Phone (760) 247-0581

Interoperability endpoints

  • Direct secure messaging: udayakamath@rkkmdi.allscriptsdirect.net

Organizations & group practices 3

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1346204104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19809 SENECA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923075519",
            "telephone_number": "760-946-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18564 US HIGHWAY 18",
            "address_2": "SUITE 103 & 104",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072312",
            "telephone_number": "760-946-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMATH",
        "first_name": "UDAYA",
        "middle_name": "RAMADAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A50460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A504600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F80832",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "ZZZ61434Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.