Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kamesiau Damara Premmer, MD

Individual provider Anesthesiology Physician · NPI 1982879169

Dr. Kamesiau Damara Premmer, MD is an Anesthesiology in Corona, California. Qualified in 2006, 20 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
20
Licensed in
MA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21634 Retreat Pkwy
Corona, CA 92883-6100
Phone: (951) 278-6050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2615 Chester Ave, Bakersfield, CA 93301-2014 — (661) 395-3000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 233452 (MA)

Record details

NPI number1982879169
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 28, 2008
Last updated in NPPESOctober 27, 2023
Certification dateFebruary 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Corona