Individual provider Active NPI

Kian Kaveh, D.O.

  • Internal Medicine Physician
  • Turlock, CA
National Provider Identifier
1053451328
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A11542 Issued in CA
Practice address
3650 Geer Rd
Ste a
Turlock, CA 95382-1148
Phone
(209) 575-4575
Fax
(209) 575-4598
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 718 NV
Internal Medicine Physician 207R00000X 20A11542 CA Primary

Addresses

Primary practice location

3650 Geer Rd
Ste a
Turlock, CA 95382-1148

Mailing address

5875 S Rainbow Blvd
Suite 203
Las Vegas, NV 89118-2554
Phone (702) 804-0211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000776 CA Practitioner - Internal Medicine 4587749676 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11542CAMDInternal Medicine Physician
718NVMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arya Medical Group Corp Internal Medicine CurrentSince Mar 15, 2018 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jun 1, 2012 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients
Arya Medical Group Corp CurrentSince Mar 15, 2018 Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1660 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 424-0610

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Interoperability endpoints

  • Direct secure messaging: kkaveh97699@hisp.ehr.sutterhealth.org
  • Direct secure messaging: kian.kaveh.1@17661.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1053451328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 S RAINBOW BLVD",
            "address_2": "SUITE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182554",
            "telephone_number": "702-804-0211",
            "fax_number": "702-853-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 GEER RD",
            "address_2": "STE A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821148",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVEH",
        "first_name": "KIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "718",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A11542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.