Oendrila Kamal, D.P.M.
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Harbor City, CA
NPI 1487916359 · NPPES record last updated Nov 22, 2021
Key facts
- NPI
- 1487916359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- E-5188 (CA)
- Practice address
- 25825 Vermont Ave
Department of Podiatry
Harbor City, CA 90710-3518 - Phone
- (310) 517-2982
- NPI assigned
- Jun 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
18600 S Figueroa St
Gardena, CA 90248-4505
Phone (310) 325-5111
25821 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111
25825 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150701002989 | CA | Practitioner - Podiatry | 5698087781 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-5188 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 0116024710 | VA | MD | Foot Surgery Podiatrist |
| 5188 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Fedrigo Podiatry a Professional Corporation | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088
599 Sir Francis Drake Blvd
Ste 207
Greenbrae, CA 94904
Phone (415) 461-6555
25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111
6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0116024710 | VA | |
| Foot Surgery Podiatrist | 213ES0131X | 0116024710 | VA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E-5188 | CA | Yes |
| Podiatrist | 213E00000X | 0116024710 | VA | |
| Radiology Podiatrist | 213ER0200X | 0116024710 | VA | |
| Sports Medicine Podiatrist | 213ES0000X | 0116024710 | VA | |
| Public Medicine Podiatrist | 213EP0504X | 0116024710 | VA | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 0116024710 | VA |
Addresses
Primary practice location
25825 Vermont Ave
Department of Podiatry
Harbor City, CA 90710-3518
Mailing address
25825 Vermont Ave
Department of Podiatry
Harbor City, CA 90710-3518
Phone (310) 517-2982
Other practice location 1
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-6141
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Harbor City, CA
- Kaiser Foundation Hospitals
- Kaiser Permanente
- Kaiser Permanente
- Kaiser Permenente
- Edward Anthony Kalinowski
- Scott Kaneko
- Kayleigh Kaneshiro
- Tracey L Karp
- Richard Jay Katz
- Caitlin Renee Kawata
All providers in Harbor City, CA · Foot & Ankle Surgery Podiatrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.