Paul H Kramer, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

G44030 Issued in CA

Practice address

12840 Riverside Dr
Valley Village, CA 91607-3327

Phone

(323) 686-3045

Fax

(224) 235-4652

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• USA Vascular Centers of Los Angeles, PC

  • Vascular Surgery Physician
  • Valley Village, CA
  • NPI 1679951362
  Medicare reassignment
• Vascular Anesthesia Associates PLLC

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1346706173

  Interventional Cardiology

  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1487693685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WAINWRIGHT DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621900",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073327",
            "telephone_number": "323-686-3045",
            "fax_number": "224-235-4652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 E Hallandale Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330094621",
            "country_code": "US",
            "telephone_number": "954-688-3968",
            "fax_number": "224-235-4652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "PAUL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "113713",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G44030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024663000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vache Kirakosyan, RN
• KLG Enterprises LLC
• Kofman Chiropractic Corp
• Gregory L. Kofman, D.C.
• Anna Kolentsova, DDS
• Rachel Victoria Krepack
• Margaret Ann Krpan, DC
• Jody Kussin, PH.D.
• Jane Kwon, LMFT
• Carlos Manuel Laack, LMFT

• Interventional Cardiology Physician in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.