Poorva Kamath, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A133456 Issued in CA

Practice address

315 Mercy Ave
Suite 301
Merced, CA 95340-8363

Phone

(209) 564-3513

NPI assigned

Jan 22, 2015

Last updated

Oct 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mekhala Shenoy Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkamath591333@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Asian Americans for Community Involvement of Santa Clara County, Inc

  • Clinic/Center
  • San Jose, CA
  • NPI 1750490363
  Medicare reassignment NPD
• Asian Americans for Community Involvement of Santa Clara County, Inc

  • Clinic/Center
  • San Jose, CA
  • NPI 1316338775
  NPD

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1407245947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MOORPARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282631",
            "telephone_number": "408-975-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MERCY AVE",
            "address_2": "SUITE 301",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408363",
            "telephone_number": "209-564-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMATH",
        "first_name": "POORVA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A133456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEKHALA",
            "last_name": "SHENOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mitchell Isidro Juarez
• John Loy Julius, DDS
• Mariama Nora Kabba
• Pushpinderdeep Singh Kahlon, MD
• Adithi Kalyan
• Joseph Kalani Kanaeholo, CMT
• Yody Kandalaft
• Mary Kandola
• Chelsey Kane
• Jatinder Kaur Kang, FNP

• Family Medicine Physician in Merced, CA
• Providers in Merced, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.

Verify at the official NPI Registry.