Pourang Kamali MD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A90859 Issued in CA

Legal business name

POURANG KAMALI MD INC

Practice address

752 Medical Center CT
106
Chula Vista, CA 91911-6658

Phone

(619) 754-6120

Fax

(619) 482-6656

NPI assigned

Apr 27, 2010

Organization subpart

No

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

Authorized official

Name

Andrea Kamali

Title

Administrator

Phone

(619) 850-4161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Calderon-Bravo, FNP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1306386412
  Medicare reassignment NPD
• Cynthia Vanessa Gallegos, FNP

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1174105589
  Medicare reassignment NPD
• Pourang Kamali, M.D.

  • Obstetrics & Gynecology Physician
  • Chula Vista, CA
  • NPI 1609954171
  Medicare reassignment NPD

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1750608931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 MEDICAL CENTER CT",
            "address_2": "106",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116658",
            "telephone_number": "619-754-6120",
            "fax_number": "619-482-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 MEDICAL CENTER CT",
            "address_2": "106",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116658",
            "telephone_number": "619-754-6120",
            "fax_number": "619-482-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POURANG KAMALI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "KAMALI",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-850-4161"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A90859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Ports
• Caitlynn Danae Posada
• Fernando Esteban Postigo, D.O.
• Sam Ezra Potter, ASW
• Sandra L Potter
• Ute Powell, RN, PHN
• Amanda Powers, PSYD
• Ravindra Prabhu, M.D.
• Malia Jazmin Prado
• Prater Dental Corporation

• Clinic/Center in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.