1. Home
  2. Directory
  3. California
  4. Reseda
  5. General Practice
  6. NPI Profile

KAMRAN K KAMRAVA MD
NPI 1053483800
General Practice in Reseda, CA

Active since November 15, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0558418 · Waiver
6915 RESEDA BLVD, SUITE 1, RESEDA, CA 91335(818) 343-2121(818) 705-1622 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kamran K Kamrava Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAMRAN K KAMRAVA MD (NPI 1053483800) is an individual general practice provider in Reseda, California, licensed in California (A43281) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 5, 2026, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1053483800
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKAMRAN K KAMRAVACredential: MD
Location Address6915 RESEDA BLVD, SUITE 1Reseda, CA 91335
Mailing Address6915 Reseda Blvd, Suite 1Reseda, CA 91335 · (818) 343-2121 · Fax (818) 705-1622
Phone(818) 343-2121
Fax(818) 705-1622
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateNovember 15, 2006
Last NPPES UpdateDecember 9, 2010
✔ NPI 1053483800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A43281
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6915 RESEDA BLVD, Reseda, CA 91335
Open in Google Maps ↗

Other Identifiers 3

Medicaid00A432810CA
Medicare UPINA29679
Medicare ID-Type UnspecifiedA43281

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kamran K Kamrava Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527257690
PECOS Enrollment IDI20110105001186
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0558418

Kamran K Kamrava MD · Reseda, CA
Active · expires Nov 5, 2026
CLIA Number05D0558418
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorKamran Kamrava
Laboratory Phone(818) 343-2121
Laboratory LocationKamran K Kamrava MD6915 Reseda Blvd Sutie 1, Reseda, CA 91335
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
231 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services40 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims35 services$5.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYADIA L HAKIM DDS
Dentist
6915 RESEDA BLVD, SUITE 6
RESEDA, CA 91335
Los Angeles County (818) 784-2414
MONICA PATRICIA HERDOIZA D.D.S
Dentist
6915 RESEDA BLVD, #3
RESEDA, CA 91335
Los Angeles County (818) 881-6844
JODY WICKS D.D.S.
Dentist (General Practice)
6915 RESEDA BLVD, SUITE 2
RESEDA, CA 91335
Los Angeles County (818) 881-8820
JODY WICKS, D.D.S., INC.
Clinic/Center (Dental)
6915 RESEDA BLVD, SUITE 2
RESEDA, CA 91335
Los Angeles County (818) 881-8820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kamran Kamrava's NPI number?

The NPI number for Kamran Kamrava is 1053483800. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Kamran Kamrava located?

Kamran Kamrava practices at 6915 Reseda Blvd Suite 1, Reseda, CA 91335. The listed phone number is (818) 343-2121.

What is Kamran Kamrava's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kamran Kamrava enrolled in Medicare?

Yes. Kamran Kamrava is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Kamran Kamrava hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0558418) is associated with this NPI, valid through November 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kamran Kamrava was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.