Individual provider Active NPI

Christos Kalatzis, MD

  • Anesthesiology Physician
  • Orange, CA
National Provider Identifier
1154319754
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A40074 Issued in CA
Practice address
2601 E Chapman Ave
Orange, CA 92869-3206
Phone
(714) 633-0011
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A40074 CA Primary

Addresses

Primary practice location

2601 E Chapman Ave
Orange, CA 92869-3206

Mailing address

PO Box 2757
Orange, CA 92859-0757
Phone (714) 973-2650

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
I20040322001346 CA Practitioner - Anesthesiology 8224929005 Practice locations: Los Angeles, CA; Tustin, CA; Torrance, CA; Orange, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40074CAMDGeneral Practice Dentistry
21CAMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Century Anesthesia Assoc. Anesthesiology PastSince Aug 1, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1154319754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2757",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928590757",
            "telephone_number": "714-973-2650",
            "fax_number": "714-973-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693206",
            "telephone_number": "714-633-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALATZIS",
        "first_name": "CHRISTOS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A40074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.