Organization Active NPI

Palliative Medicine Associates LLC

  • Family Medicine Physician
  • Holladay, UT
National Provider Identifier
1003296070
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALLIATIVE MEDICINE ASSOCIATES LLC
Practice address
4141 S Highland Dr # 304
Holladay, UT 84124-2642
Phone
(801) 747-0330
Fax
(801) 747-2294
NPI assigned
Jun 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nino Calfa
Title
Owner
Phone
(801) 750-6466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4141 S Highland Dr # 304
Holladay, UT 84124-2642

Mailing address

4141 S Highland Dr # 304
Holladay, UT 84124-2642
Phone (801) 747-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150814014908 UT Part B Supplier - Clinic/Group Practice 7315252608 Receives reassigned benefits from 4 practitioners
Practice locations: Holladay, UT; Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

4141 S Highland Dr
#304
Salt Lake City, UT 84124
Phone (801) 747-0330

888 E 3900 S
Salt Lake Cty, UT 84107
Phone (801) 747-0330

888 E 3900 S
#B
Salt Lake Cty, UT 84107
Phone (801) 747-0330

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1003296070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S HIGHLAND DR # 304",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841242642",
            "telephone_number": "801-747-0330",
            "fax_number": "801-747-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 S HIGHLAND DR # 304",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841242642",
            "telephone_number": "801-747-0330",
            "fax_number": "801-747-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "CALFA",
        "authorized_official_first_name": "NINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-750-6466"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.