Individual provider Active NPI

Michael M Keramati, DO, DDS

  • Family Medicine Physician
  • Encino, CA
National Provider Identifier
1962441238
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8906 Issued in CA
Practice address
16550 Ventura Blvd
214
Encino, CA 91436-2004
Phone
(818) 990-5588
Fax
(818) 990-5589
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A8906 CA Primary

Addresses

Primary practice location

16550 Ventura Blvd
214
Encino, CA 91436-2004

Mailing address

16550 Ventura Blvd
Encino, CA 91436-2055
Phone (818) 990-5588

Other identifiers 1

IdentifierTypeStateIssuer
00AX89060MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102000766 CA Practitioner - General PracticePractitioner - Oral Surgery 5799747630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Oral Surgery
Education
College of Osteo Med of the Pacific at Pomona, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16550 Ventura Blvd
Suite 214
Encino, CA 91436-2055
Phone (818) 990-5588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A8906CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael M. Keramati, DO a Medical Corporation CurrentSince Aug 1, 2005 Accepting new patients
Rabin Beral DPM a Podiatry Corporation Past Accepting new patients
Pacific Ocean Medical Clinic Past Accepting new patients

Locations

16550 Ventura Blvd
Ste 214
Encino, CA 91436
Phone (818) 458-1681

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962441238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362055",
            "telephone_number": "818-990-5588",
            "fax_number": "818-990-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD",
            "address_2": "214",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362004",
            "telephone_number": "818-990-5588",
            "fax_number": "818-990-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERAMATI",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX89060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.