Individual provider Active NPI

Michael Edwin Kalafer, M.D.

  • Pulmonary Disease Physician
  • Coronado, CA
National Provider Identifier
1053645671
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G23959 Issued in CA
Practice address
250 Prospect PL
Coronado, CA 92118-1943
Phone
(858) 997-7084
NPI assigned
Sep 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G23959 CA Primary

Addresses

Primary practice location

250 Prospect PL
Coronado, CA 92118-1943

Mailing address

1220 Rosecrans St
PMB 451
San Diego, CA 92106-2674
Phone (858) 997-7084

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
I20100111000565 CA Practitioner - Pulmonary Disease 7113068230 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23959CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Mar 11, 2020 Accepting new patients
KND Development 59, LLC Past Accepting new patients
KND Development 59 LLC Past Accepting new patients

Locations

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carmel Mountain Rehabilitaton and Healthcare CenterSan Diego, CA, CCN 555326 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Mar 22, 2016
Mar 22, 2016
Mar 22, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1053645671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 ROSECRANS ST",
            "address_2": "PMB 451",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062674",
            "telephone_number": "858-997-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PROSPECT PL",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181943",
            "telephone_number": "858-997-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAFER",
        "first_name": "MICHAEL",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G23959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

Verify at the official NPI Registry.