Michael M. Keramati, DO a Medical Corporation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

20A8906 Issued in CA

Legal business name

MICHAEL M. KERAMATI, DO A MEDICAL CORPORATION

Practice address

16550 Ventura Blvd Ste 214
Encino, CA 91436-2055

Phone

(818) 990-5588

NPI assigned

Aug 28, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Jennifer Calderon, MA, RDA

Title

Office Manager

Phone

(818) 990-5588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Michael M Keramati, DO, DDS

  • Family Medicine Physician
  • Encino, CA
  • NPI 1962441238
  Medicare reassignment NPD
• Nahal Bahrampour, PHARMD.

  • Pharmacist
  • Encino, CA
  • NPI 1205186822
  NPD (past)

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437676616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD. SUITE 214",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-990-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD STE 214",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362055",
            "telephone_number": "818-990-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M. KERAMATI, DO A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-990-5588",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA, RDA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "20A8906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.