Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Siamak Kazemi, DO

Individual provider Family Medicine Physician · NPI 1417158957

Dr. Siamak Kazemi, DO is a Family Practice in Redlands, California. Qualified in 2005, 21 years ago. Practices with Beaver Medical Group P C, a 255-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
21
Licensed in
VA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2 W Fern Ave
Redlands, CA 92373
Phone: (909) 793-3311
Fax: (909) 335-4190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102201909 (VA)

Record details

NPI number1417158957
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 31, 2007
Last updated in NPPESDecember 27, 2025
Certification dateDecember 27, 2025
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Beaver Medical Group P C — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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