Organization Active NPI

Ram K. Kamath, M.D., Inc.

Doing business as Kamath Medical Group

  • Non-Pharmacy Dispensing Site
  • Apple Valley, CA
National Provider Identifier
1912049883
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
A46329 Issued in CA
Legal business name
RAM K. KAMATH, M.D., INC.
Doing business as
Kamath Medical Group
Practice address
18564 Highway 18
Suite 103 & 104
Apple Valley, CA 92307
Phone
(760) 946-4840
NPI assigned
Feb 13, 2007
Last updated
Oct 17, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDVANTX,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Kenny Heine
Title
Director of Operations
Phone
(858) 625-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X A46329 CA Primary

Addresses

Primary practice location

18564 Highway 18
Suite 103 & 104
Apple Valley, CA 92307

Mailing address

5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705

Other names 1

  • Kamath Medical Group Doing business as

National Provider Directory

National Provider Directory
Part of
Medvantx Inc

Locations

18564 US Highway 18
Ste 103
Apple Valley, CA 92307
Phone (760) 242-9262

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1912049883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18564 HIGHWAY 18",
            "address_2": "SUITE 103 & 104",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-946-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAM K. KAMATH, M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX,INC",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A46329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kamath Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.