Organization Active NPI

Tamara T. Kurmanalieva, PC

  • Family Medicine Physician
  • Irvine, CA
National Provider Identifier
1801128368
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A98504 Issued in CA
Legal business name
TAMARA T. KURMANALIEVA, PC
Practice address
4920 Barranca Pkwy
Suite D
Irvine, CA 92604-4672
Phone
(949) 387-8422
Fax
(949) 387-8423
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Dr. Tamara T. Kurmanalieva, M. D.NPI 1720291222
Title
President
Phone
(949) 387-8422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A98504 CA Primary

Addresses

Primary practice location

4920 Barranca Pkwy
Suite D
Irvine, CA 92604-4672

Mailing address

4920 Barranca Pkwy
Suite D
Irvine, CA 92604-4672
Phone (949) 387-8422

Other identifiers 13

IdentifierTypeStateIssuer
0UW892, 0844892OtherBLUE CROSS/BLUE CROSS SENIOR
144535OtherHEALTH NET/HEALTH NET SENIOR
426431OtherAETNA/AETNA SENIOR
7G0847/8U0694/L80885OtherBLUE SHIELD 65 PLUS
0219630488OtherSECURE HORIZONS
091808OtherSCAN
00A985040OtherONECARE
0149050651OtherPACIFICARE
7261810002OtherCIGNA
00A985040OtherCALOPTIMA
00A985040MedicaidCA
00985040OtherBLUE SHIELD
0022776230002OtherGREAT WEST

Other names 1

  • Tumesh for Optimal Health Doing business as

National Provider Directory

National Provider Directory

Locations

4920 Barranca Pkwy
Ste D
Irvine, CA 92604
Phone (949) 387-8422

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1801128368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 BARRANCA PKWY",
            "address_2": "SUITE D",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044672",
            "telephone_number": "949-387-8422",
            "fax_number": "949-387-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 BARRANCA PKWY",
            "address_2": "SUITE D",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044672",
            "telephone_number": "949-387-8422",
            "fax_number": "949-387-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA T. KURMANALIEVA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "KURMANALIEVA",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-387-8422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A98504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE CROSS SENIOR",
            "identifier": "0UW892, 0844892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET/HEALTH NET SENIOR",
            "identifier": "144535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/AETNA SENIOR",
            "identifier": "426431",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD 65 PLUS",
            "identifier": "7G0847/8U0694/L80885",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS",
            "identifier": "0219630488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCAN",
            "identifier": "091808",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONECARE",
            "identifier": "00A985040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "0149050651",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7261810002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA",
            "identifier": "00A985040",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A985040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00985040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "0022776230002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tumesh for Optimal Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.