Active NPI
Pamela Doerr-Kashani, NP
- Family Nurse Practitioner
- San Rafael, CA
National Provider Identifier
1801270863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95002634
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151215002835 | CA | Order and Referring Only - Nurse Practitioner | 9638470784 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95002634 | CA | MD | Family Nurse Practitioner |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.