Active NPI
Ivan J Kamil, MD
- Preferred Provider Organization
- Woodland Hills, CA
National Provider Identifier
1750456323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- G 31326
- Practice address
- 21555 Oxnard St
6G
Woodland Hills, CA 91367-4943 - Phone
- (818) 234-6317
- NPI assigned
- Nov 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | G 31326 | CA | Primary |
Addresses
Primary practice location
21555 Oxnard St
6G
Woodland Hills, CA 91367-4943
Mailing address
2810 Forrester Dr
Los Angeles, CA 90064-4662
Phone (818) 234-6317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G 31326 | CA | MD | Preferred Provider Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750456323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 FORRESTER DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900644662",
"telephone_number": "818-234-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21555 OXNARD ST",
"address_2": "6G",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913674943",
"telephone_number": "818-234-6317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMIL",
"first_name": "IVAN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CA",
"license": "G 31326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.