Active NPI
David S Kramer MD a Professional Corporation
- Cardiovascular Disease Physician
- Anaheim, CA
National Provider Identifier
1467741983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G49359
- Legal business name
- DAVID S KRAMER MD A PROFESSIONAL CORPORATION
- Practice address
- 3356 W Ball Rd
206
Anaheim, CA 92804-3702 - Phone
- (714) 827-8890
- Fax
- (714) 827-8905
- NPI assigned
- Apr 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ginger Irene Watts
- Title
- Medical Biller
- Phone
- (714) 827-8890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G49359 | CA | Primary |
Addresses
Primary practice location
3356 W Ball Rd
206
Anaheim, CA 92804-3702
Mailing address
6575 Churchill Dr
Huntington Beach, CA 92648-1513
Phone (714) 827-8890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G49359 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- David S Kramer MD a Professional Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Anaheim, CA
- NPI 1306011150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301961600000",
"number": "1467741983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6575 CHURCHILL DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481513",
"telephone_number": "714-827-8890",
"fax_number": "714-827-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3356 W BALL RD",
"address_2": "206",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043702",
"telephone_number": "714-827-8890",
"fax_number": "714-827-8905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID S KRAMER MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A",
"authorized_official_last_name": "WATTS",
"authorized_official_first_name": "GINGER",
"authorized_official_middle_name": "IRENE",
"authorized_official_title_or_position": "MEDICAL BILLER",
"authorized_official_telephone_number": "714-827-8890"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G49359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G49359",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.