NPIMap

Organization Active NPI

Alan Brenner Kimelman MD PC

  • Pain Medicine (Anesthesiology) Physician
  • Novato, CA
National Provider Identifier
1437579588
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G49358 Issued in CA
Legal business name
ALAN BRENNER KIMELMAN MD PC
Practice address
1748 Novato Blvd Ste 100
Novato, CA 94947-7855
Phone
(415) 408-3500
NPI assigned
Apr 16, 2014
Last updated
May 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Ms. Noreen Burns
Title
Nurse/Manager
Phone
(415) 408-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X G49358 CA Primary

Addresses

Primary practice location

1748 Novato Blvd Ste 100
Novato, CA 94947-7855

Mailing address

1748 Novato Blvd Ste 100
Novato, CA 94947-7855
Phone (415) 408-3500

Other identifiers 1

IdentifierTypeStateIssuer
00G493580OtherCAMEDICARE PTAN #

National Provider Directory

National Provider Directory

Locations

1748 Novato Blvd
Ste 100
Novato, CA 94947
Phone (415) 408-3500

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1437579588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 NOVATO BLVD STE 100",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949477855",
            "telephone_number": "415-408-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 NOVATO BLVD STE 100",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949477855",
            "telephone_number": "415-408-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN BRENNER KIMELMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_title_or_position": "NURSE/MANAGER",
        "authorized_official_telephone_number": "415-408-3500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G49358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #",
            "identifier": "00G493580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.