Individual provider Active NPI

Allen Kamrava, M.D., M.B.A.

  • Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1548416555
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A103694 Issued in CA
Practice address
435 N Bedford Dr Ste 308
Beverly Hills, CA 90210-4380
Phone
(424) 279-8222
Fax
(424) 279-8226
NPI assigned
Aug 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A103694 CA Primary

Addresses

Primary practice location

435 N Bedford Dr Ste 308
Beverly Hills, CA 90210-4380

Mailing address

435 N Bedford Dr Ste 308
Beverly Hills, CA 90210-4380
Phone (424) 279-8222

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
I20121126000459 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 2264680297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Temple University School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

435 N Bedford Dr
Suite 308
Beverly Hills, CA 90210-4380
Phone (424) 279-8222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Hernia repair (minimally invasive)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
103694CAMDMental Health Counselor
A103694CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kamrava CRS Inc. Surgery Current Accepting new patients
Allen Kamrava, MD Mba Inc. CurrentSince Oct 29, 2012 Accepting new patients
Dignity Health Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

9001 Wilshire Blvd
Ste 104
Beverly Hills, CA 90211
Phone (310) 273-2686

9001 Wilshire Blvd
Ste 207
Beverly Hills, CA 90211
Phone (310) 421-4292

435 N Bedford Dr
Ste 308
Beverly Hills, CA 90210
Phone (310) 274-6158

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: akamrava184448@direct.cshs.org
  • Direct secure messaging: allen.kamrava@1622323363844.direct.elationemr.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1218240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1548416555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR STE 308",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104380",
            "telephone_number": "424-279-8222",
            "fax_number": "424-279-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR STE 308",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104380",
            "telephone_number": "424-279-8222",
            "fax_number": "424-279-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMRAVA",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-09",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A103694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.