NPIMap

Organization Active NPI

M. Michael Kazemi, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • San Ramon, CA
National Provider Identifier
1619197225
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
G61310 Issued in CA
Legal business name
M. MICHAEL KAZEMI, M.D.
Practice address
5401 Norris Canyon Rd
#308
San Ramon, CA 94583-5409
Phone
(925) 866-8822
Fax
(925) 866-8323
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. M. Michael Kazemi, M.D.
Title
Physician
Phone
(925) 866-8822

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X G61310 CA
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X G61310 CA Primary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X G61310 CA

Addresses

Primary practice location

5401 Norris Canyon Rd
#308
San Ramon, CA 94583-5409

Mailing address

5401 Norris Canyon Rd
#308
San Ramon, CA 94583-5409
Phone (925) 866-8822

Other identifiers 1

IdentifierTypeStateIssuer
00G613101MedicaidCA

Other names 1

  • Mustafa Michael Kazemi, M.D. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619197225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD",
            "address_2": "#308",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835409",
            "telephone_number": "925-866-8822",
            "fax_number": "925-866-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD",
            "address_2": "#308",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835409",
            "telephone_number": "925-866-8822",
            "fax_number": "925-866-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. MICHAEL KAZEMI, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KAZEMI",
        "authorized_official_first_name": "M. MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "925-866-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G61310",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G61310",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G61310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G613101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mustafa Michael Kazemi, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.