Evish Kamrava MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A125995 Issued in CA

Legal business name

EVISH KAMRAVA MD PC

Practice address

32144 Agoura Rd Ste 200
Westlake Village, CA 91361-4031

Phone

(805) 601-7772

Fax

(805) 601-7773

NPI assigned

Jul 15, 2016

Last updated

Jul 26, 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

Evish Kamrava, MDNPI 1861629685

Title

President

Phone

(805) 601-7772

Specialties & licenses 1

Addresses

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, and the practitioner matching its NPPES authorized official.

• Evish Kamrava, MD

  • Physical Medicine & Rehabilitation Physician
  • Westlake Village, CA
  • NPI 1861629685
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1467805325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD STE 200",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614031",
            "telephone_number": "805-601-7772",
            "fax_number": "805-601-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVISH KAMRAVA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "KAMRAVA",
        "authorized_official_first_name": "EVISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-601-7772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A125995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eternal Cca, Inc.
• Eternal Life Hospice, Inc.
• Ethan J. Baughman, M.D. Inc., a Medical Corporation
• Jody Pamela Evans, MFT
• Dana Louise Everett-Gibb
• Evolvere Psychology Incorporated
• Chelsea Ewing, MS, LMFT
• Marjorie Eileen Fagan, MA LMFT
• Ronald Walter Fagan
• Fahradyan Plastic Surgery (MD Art Plastic Surgery)

• Physical Medicine & Rehabilitation Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.