Individual provider Active NPI

Tamara T. Kurmanalieva, MD

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1720291222
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A98504 Issued in CA
Practice address
9939 Magnolia Ave
Riverside, CA 92503-3528
Phone
(951) 687-8802
Fax
(951) 687-2250
NPI assigned
May 8, 2007
Last updated
Jun 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A98504 CA Primary

Addresses

Primary practice location

9939 Magnolia Ave
Riverside, CA 92503-3528

Mailing address

PO Box 70180
Riverside, CA 92513-0180
Phone (951) 354-3216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 19, 2026 through Mar 19, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4920 Barranca Pkwy D
Irvine, CA 92604-4672

9939 Magnolia Ave
Riverside, CA 92503-3528

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Healthcare Inc CurrentSince Nov 4, 2018 Accepting new patients
Tamara T. Kurmanalieva, PC Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

18818 Teller Ave
Ste 170
Irvine, CA 92612
Phone (949) 535-2322

1057 Gayley Ave
Los Angeles, CA 90024
Phone (800) 404-1963

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11061/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1720291222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70180",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925130180",
            "telephone_number": "951-354-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9939 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033528",
            "telephone_number": "951-687-8802",
            "fax_number": "951-687-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURMANALIEVA",
        "first_name": "TAMARA",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A98504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.