Individual provider Active NPI

Pamela Doerr-Kashani, NP

  • Family Nurse Practitioner
  • San Rafael, CA
National Provider Identifier
1801270863
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95002634 Issued in CA
Practice address
9 Unionstone LN
San Rafael, CA 94903-1315
Phone
(415) 271-8320
NPI assigned
Jul 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95002634 CA Primary
Registered Nurse 163W00000X 498751 CA

Addresses

Primary practice location

9 Unionstone LN
San Rafael, CA 94903-1315

Mailing address

6090 Redwood Blvd G
Novato, CA 94945-4569
Phone (415) 798-3106

Other names 1

  • Pamela Doerr Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215002835 CA Order and Referring Only - Nurse Practitioner 9638470784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95002634CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: pdoerrkashani584919@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1801270863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 REDWOOD BLVD G",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949454569",
            "telephone_number": "415-798-3106",
            "fax_number": "415-798-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 UNIONSTONE LN",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031315",
            "telephone_number": "415-271-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERR-KASHANI",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95002634",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "498751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "DOERR",
            "credential": "F.N.P, R.N., P.H.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.