Individual provider Active NPI

Marvin H Kamras, M.D.

  • Obstetrics & Gynecology Physician
  • Carmichael, CA
National Provider Identifier
1457316184
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G29268 Issued in CA
Practice address
5821 Jameson CT
Carmichael, CA 95608-0820
Phone
(916) 486-0411
Fax
(916) 486-0525
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G29268 CA Primary

Addresses

Primary practice location

5821 Jameson CT
Carmichael, CA 95608-0820

Mailing address

5821 Jameson CT
Carmichael, CA 95608-0820
Phone (916) 486-0411

Other identifiers 1

IdentifierTypeStateIssuer
YYY49032YMedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070525000519 CA Practitioner - Obstetrics/Gynecology 8426021197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York Downstate Medical Center, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kamras and Polansky Medical CorporationGroup PAC ID 3072586742, 6 clinicians

Practice addresses (Care Compare)

5821 Jameson CT
Carmichael, CA 95608-0890
Phone (916) 486-0411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G29268CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kamras and Polansky Medical Corporation Obstetrics & Gynecology CurrentSince Jan 1, 2004 Accepting new patients

Locations

5821 Jameson Ct
Ste 1
Carmichael, CA 95608
Phone (916) 864-0411

5821 Jameson Ct
Carmichael, CA 95608
Phone (916) 486-0411

8735 Sierra College Blvd
Ste 210
Roseville, CA 95661
Phone (916) 486-0411

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1457316184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080820",
            "telephone_number": "916-486-0411",
            "fax_number": "916-486-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080820",
            "telephone_number": "916-486-0411",
            "fax_number": "916-486-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMRAS",
        "first_name": "MARVIN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G29268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY49032Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.