Organization Active NPI

Kamran Kalpari MD a Medical Corporation

  • Primary Care Clinic/Center
  • West Hollywood, CA
National Provider Identifier
1891070066
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G75275 Issued in CA
Legal business name
KAMRAN KALPARI MD A MEDICAL CORPORATION
Practice address
8797 Beverly Blvd
315
West Hollywood, CA 90048-1832
Phone
(310) 659-0123
Fax
(310) 659-7780
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Dr. Kamran Kalpari, MDNPI 1053336974
Title
President
Phone
(310) 659-0123

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
Primary Care Clinic/Center 261QP2300X G75275 CA Primary

Addresses

Primary practice location

8797 Beverly Blvd
315
West Hollywood, CA 90048-1832

Mailing address

8797 Beverly Blvd
315
West Hollywood, CA 90048-1832
Phone (310) 659-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111118000485 CA Part B Supplier - Clinic/Group Practice 7911171426 Receives reassigned benefits from 1 practitioner
Practice locations: West Hollywood, CA

National Provider Directory

National Provider Directory

Locations

8711 W 3rd St
Los Angeles, CA 90048

Practitioners & affiliated clinicians

Practitioners 1

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": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1891070066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8797 BEVERLY BLVD",
            "address_2": "315",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481832",
            "telephone_number": "310-659-0123",
            "fax_number": "310-659-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8797 BEVERLY BLVD",
            "address_2": "315",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481832",
            "telephone_number": "310-659-0123",
            "fax_number": "310-659-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMRAN KALPARI MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "KALPARI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-659-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G75275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.