Praveen Kambam, M.D.
Praveen Kambam, M.D. is a Forensic Psychiatry Physician in Los Angeles, CA, registered under NPI 1912034141. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 11500 W OLYMPIC BLVD 538, Los Angeles, CA 90064. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A100457 | CA | Forensic Psychiatry Physician primary |
| A100457 | CA | Psychiatry Physician |
| A100457 | CA | Addiction Medicine (Psychiatry &… |
| A100457 | CA | Child & Adolescent Psychiatry Physician |
This provider holds licence A100457 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Forensic Psychiatry covers
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. NUCC Health Care Provider Taxonomy, code 2084F0202X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084F0202X | Forensic Psychiatry Physician Forensic Psychiatry | A100457 | CA | primary |
| 2084P0800X | Psychiatry Physician Psychiatry | A100457 | CA | |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician Addiction Medicine | A100457 | CA | |
| 2084P0804X | Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry | A100457 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1912034141 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 27, 2007 |
| Last updated | Nov 23, 2020 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
11500 W OLYMPIC BLVD 538 Los Angeles, CA 90064 (310) 231-8964 Fax (310) 627-1657 |
| Mailing address |
644 N FULLER AVE PMB 7190 Los Angeles, CA 90036 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 1 | 2 | 0 | 3 | 4 | 1 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 2 | 2 | 0 | 3 | 8 | 1 | 8 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.