Individual provider Active NPI

Stuart Beryl Kramer, M.D.

  • Medical Specialty Clinic/Center
  • Tarzana, CA
National Provider Identifier
1649310277
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
G18896 Issued in CA
Practice address
5530 Corbin Ave Ste 260
Tarzana, CA 91356-6030
Phone
(818) 716-5179
Fax
(818) 716-6978
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X G18896 CA
Medical Specialty Clinic/Center 261QM2500X G18896 CA Primary

Addresses

Primary practice location

5530 Corbin Ave Ste 260
Tarzana, CA 91356-6030

Mailing address

5530 Corbin Ave Ste 260
Tarzana, CA 91356-6030
Phone (818) 716-5179

Other practice location 1

19730 Ventura Blvd Ste 104
Woodland Hills, CA 91364-2600
Phone (818) 716-5179

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
I20160114002251 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5799088332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18896CAMDAcupuncturist
G18896CAMDEndocrinology, Diabetes & Metabolism Physician

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1649310277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 CORBIN AVE STE 260",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566030",
            "telephone_number": "818-716-5179",
            "fax_number": "818-716-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 CORBIN AVE STE 260",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566030",
            "telephone_number": "818-716-5179",
            "fax_number": "818-716-6978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19730 Ventura Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913642600",
            "country_code": "US",
            "telephone_number": "818-716-5179",
            "fax_number": "818-716-6978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "STUART",
        "middle_name": "BERYL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G18896",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G18896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.