Organization Active NPI

David S Kramer MD a Professional Corporation

  • Cardiovascular Disease Physician
  • Anaheim, CA
National Provider Identifier
1467741983
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G49359 Issued in CA
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

Updated by the provider on Apr 5, 2011

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00G49359MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
David S Kramer MD a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.