Active NPI
Kevin Bernard Calhoun, M.D.
- Emergency Medicine Physician
- Chula Vista, CA
National Provider Identifier
1144239401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G83498
- Practice address
- 751 Medical Center CT
Chula Vista, CA 91911-6617 - Phone
- (619) 482-5825
- NPI assigned
- Aug 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G83498 | CA | Primary |
Addresses
Primary practice location
751 Medical Center CT
Chula Vista, CA 91911-6617
Mailing address
2100 Powell St
Suite 900
Emeryville, CA 94608-1826
Phone (510) 350-2777
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160404000801 | CA | Practitioner - General Practice | 6901103548 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G83498 | CA | MD | Emergency Medicine Physician |
| 10482R | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Healthcare Center | Current | Accepting new patients | |
| Workmed California, Apc | Past | Accepting new patients |
Locations
22330 Hawthorne Blvd
Ste J
Torrance, CA 90505
Phone (310) 375-7599
Interoperability endpoints
- https://api.platform.athenahealth.com/22871/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Trauma Physician
- Riverside, CA
- NPI 1104256841
-
- General Practice Physician
- Torrance, CA
- NPI 1235738782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144239401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "SUITE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 MEDICAL CENTER CT",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919116617",
"telephone_number": "619-482-5825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALHOUN",
"first_name": "KEVIN",
"middle_name": "BERNARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G83498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
- Jocelyne Calderon
- Juan M Calderon, M.D.
- Mia Calderon
- Brigette Channel Calderson
- Dara Cale
- Calicarehealth LLC
- California Center of Reproductive Medicine
- California Emergency Physicians Med GRP
- California Medical Injury & Rehabilitation Physicians Inc
- California Retina Associates, LP (California Retina Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.