Individual provider Active NPI

Pourang Kamali, M.D.

  • Obstetrics & Gynecology Physician
  • Chula Vista, CA
National Provider Identifier
1609954171
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A90859 Issued in CA
Practice address
769 Medical Center CT.
Suite # 301
Chula Vista, CA 91911-6658
Phone
(619) 754-6120
Fax
(619) 482-6656
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A90859 CA Primary

Addresses

Primary practice location

769 Medical Center CT.
Suite # 301
Chula Vista, CA 91911-6658

Mailing address

769 Medical Center CT Ste 301
Chula Vista, CA 91911-6602
Phone (619) 271-2700

Other identifiers 1

IdentifierTypeStateIssuer
GR0064490MedicaidCA

Other names 1

  • Dr. Ray Kamali Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pourangkamali@pkmd.allscriptsdirect.net Health Information Exchange (HIE)
Direct Messaging Address pourangkamali@pkmd.allscriptsdirect.net

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
I20110607000088 CA Practitioner - Obstetrics/Gynecology 3779760475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

769 Medical Ctr CT
Suite 301
Chula Vista, CA 91911-6602
Phone (619) 271-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pourang Kamali MD Inc CurrentSince Feb 27, 2011 Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients

Locations

769 Medical Center Ct
Ste 301
Chula Vista, CA 91911
Phone (619) 271-2700

752 Medical Center Ct
Ste 106
Chula Vista, CA 91911
Phone (619) 482-8406

Interoperability endpoints

  • Direct secure messaging: rkamali32425@sharphealthcare.direct-ci.com

Organizations & group practices 3

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 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1609954171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 MEDICAL CENTER CT STE 301",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116602",
            "telephone_number": "619-271-2700",
            "fax_number": "619-737-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 MEDICAL CENTER CT.",
            "address_2": "SUITE # 301",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116658",
            "telephone_number": "619-754-6120",
            "fax_number": "619-482-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMALI",
        "first_name": "POURANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A90859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064490",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pourangkamali@pkmd.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "769 Medical Center Ct.",
            "address_2": "Suite # 301",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919116658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pourangkamali@pkmd.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "769 Medical Center Ct Ste 301",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919116602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "KAMALI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.