Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1285694398 Deactivated / Inactive NPI Male Practitioner

Dr. Sid Kamrava , MD, FACOG

Specialist • Encino, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sid Kamrava has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 23, 2006
NPI Deactivation Date March 07, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Sid Kamrava, MD, FACOG was a registered Specialist practicing in Encino, CA. Throughout an active medical career spanning 11 years, Dr. Kamrava provided care at the practice location at 17525 VENTURA BLVD until profile deactivation on 2017-03-07.

Practice Location & Contact Primary Location

Practice Address

17525 Ventura Blvd
1-M

Encino, CA 913163843

Telephone 8187835050
Fax 8187835059
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Encino, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.1 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Encino, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A34548

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Babak Darvish , MD

Physical Medicine & Rehabilitation - Neuromuscular Medicine

NPI 1528154192

Doctor of Medicine (M.D.)

NPI 1568533560

Doctor of Psychology (Psy.D.)

Dr. Graham Purcell , MD

Orthopaedic Surgery

NPI 1609961382

Doctor of Medicine (M.D.)

Dr. Clifford Kahn , MD

Orthopaedic Surgery

NPI 1619958626

Doctor of Medicine (M.D.)

Shelby Diller , OT

Occupational Therapist

NPI 1770531535

Occupational Therapist

NPI 1841392610

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 07, 2017

Record deactivated on March 07, 2017

NPI Profile Active August 21, 2013

NPI status registered as active in NPPES database

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Updated Practice Location August 21, 2013

Registered at 17525 VENTURA BLVD, 1-M, ENCINO, CA 913163843 (Tel: 8187835050)

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Updated Business Mailing Address August 21, 2013

Registered at 17525 VENTURA BLVD, 1-M, ENCINO, CA 913163843 (Tel: 8187835050)

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Provider Name / Credentials Updated August 21, 2013

Recorded as SID KAMRAVA, M.D.,FACOG

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2013

Specialist (License #A34548 in CA)

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Initial NPI Registration & Enumeration March 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285694398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2006
Last Update: August 21, 2013
Deactivation Date: March 07, 2017

Mailing Address

17525 Ventura Blvd, 1-M

Encino, CA 913163843

Phone: 8187835050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.