Individual provider Active NPI

Kamron Mirkarimi, M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1497914725
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A105651 Issued in CA
Practice address
9333 Genesee Ave Ste 250
San Diego, CA 92121-2139
Phone
(619) 810-7027
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A105651 CA Primary

Addresses

Primary practice location

9333 Genesee Ave Ste 250
San Diego, CA 92121-2139

Mailing address

9333 Genesee Ave Ste 250
San Diego, CA 92121-2139
Phone (619) 810-7027

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100120000675 CA Practitioner - Internal Medicine 0143362764 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians
Ximed Hospitalists, Inc.Group PAC ID 7214939222, 35 clinicians

Practice addresses (Care Compare)

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 294-8111

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 457-4123

Hospital & facility affiliations

  • Apreva Hospice Hospice, San Diego, CA, CCN 551557
  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • The Cove at la Jolla Nursing home, La Jolla, CA, CCN 555545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105651CAMDSocial Worker

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 29, 2010 Accepting new patients
San Diego SNF Hospitalists Internal Medicine CurrentSince Aug 8, 2012 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Jun 14, 2017 Accepting new patients
Ximed Hospitalists, Inc. CurrentSince May 30, 2011 Accepting new patients
Scripps Health Current Accepting new patients
Morteza Mirkarimi Past Accepting new patients
Scripps Health Past Accepting new patients
El Centro Regional Medical Center Past Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

7160 Fay Ave
La Jolla, CA 92037
Phone (858) 459-4361

2828 Meadow Lark Dr
San Diego, CA 92123
Phone (858) 277-6460

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

3863 Clairemont Dr
San Diego, CA 92117
Phone (858) 483-5570

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kmirkarimi28337@scrippshlth.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Cove at la JollaLa Jolla, CA, CCN 555545 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 10, 2021
Jul 17, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1497914725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 GENESEE AVE STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212139",
            "telephone_number": "619-810-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 GENESEE AVE STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212139",
            "telephone_number": "619-810-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRKARIMI",
        "first_name": "KAMRON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A105651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.