Organization Active NPI

California Center for Pelvic Floor Disorders Inc

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Corona del Mar, CA
National Provider Identifier
1427446012
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
Legal business name
CALIFORNIA CENTER FOR PELVIC FLOOR DISORDERS INC
Practice address
2121 E Coast Hwy Ste 200
Corona del Mar, CA 92625-1934
Phone
(949) 797-7993
NPI assigned
Jan 5, 2015
Last updated
Sep 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Mickey M Karram, MDNPI 1245313535
Title
President
Phone
(949) 793-7993

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
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2088F0040X Primary

Addresses

Primary practice location

2121 E Coast Hwy Ste 200
Corona del Mar, CA 92625-1934

Mailing address

2121 E Coast Hwy Ste 200
Corona del Mar, CA 92625-1934
Phone (949) 797-7993

National Provider Directory

National Provider Directory

Locations

450 N Roxbury Dr
Ste 750
Beverly Hills, CA 90210

2121 E Coast Hwy
Ste 200
Corona del Mar, CA 92625
Phone (949) 718-2010

Practitioners & affiliated clinicians

Practitioners 2

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": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1427446012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 200",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251934",
            "telephone_number": "949-797-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 200",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251934",
            "telephone_number": "949-797-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CENTER FOR PELVIC FLOOR DISORDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2023-09-14",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "KARRAM",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-793-7993",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2088F0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.