M Michael Kazemi MD a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

M MICHAEL KAZEMI MD A MEDICAL CORPORATION

Practice address

5401 Norris Canyon Rd
Suite 308
San Ramon, CA 94583-5409

Phone

(925) 866-8822

Fax

(925) 866-8323

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. M Michael Kazemi, MD

Title

Owner

Phone

(925) 866-8822

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• M Michael Kazemi MD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mustafa Michael Kazemi, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • San Ramon, CA
  • NPI 1861479768
  Medicare reassignment NPD

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1447581624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD",
            "address_2": "SUITE 308",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835409",
            "telephone_number": "925-866-8822",
            "fax_number": "925-866-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD",
            "address_2": "SUITE 308",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835409",
            "telephone_number": "925-866-8822",
            "fax_number": "925-866-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M MICHAEL KAZEMI MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "KAZEMI",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-866-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G613101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Michael Kazemi MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Luo, OD
• Joey D Ly
• Mary Ly
• Jenny Lynch
• Lynchpin Speech Therapy, Inc
• M. Michael Kazemi, M.D.
• Henry Ma, DMD
• Jens Maassen, L.AC.
• Jazmine Celestine Maceda
• Michelle Machado

• Internal Medicine Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.