Meram Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A102512 Issued in CA

Legal business name

MERAM MEDICAL GROUP INC

Practice address

14040 Great Plains Rd
Poway, CA 92064-1443

Phone

(858) 382-6794

NPI assigned

Sep 14, 2015

Organization subpart

No

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

Authorized official

Name

Amir D Meram, M.D.

Title

President

Phone

(858) 382-6794

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1639547235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 54TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921052301",
            "telephone_number": "619-582-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 GREAT PLAINS RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920641443",
            "telephone_number": "858-382-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAM MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "MERAM",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-382-6794",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A102512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1912113556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melrose Senior Care LLC
• Kristal Mendiaz
• Michelle Mendivil
• Vanessa Mendoza Hernandez
• Damian Menendez
• Susan Meram, MD
• Al Meredith-Klugh
• Richard Alfonso Merino, MD
• Kevin Burton Merkes, MD
• Merton Suzuki MD Inc

• Family Medicine Physician in Poway, CA
• Providers in Poway, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.