Active NPI
Caballero Kobzoff MD LLC
- Internal Medicine Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CABALLERO KOBZOFF MD LLC
- Practice address
- 4120 Laurel St Ste 204
Anchorage, AK 99508-5392 - Phone
- (907) 561-4362
- Fax
- (907) 563-4498
- NPI assigned
- Jun 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Caballero, MD
- Title
- Owner/Provider
- Phone
- (907) 561-4362
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4120 Laurel St Ste 204
Anchorage, AK 99508-5392
Mailing address
PO Box 493
Soldotna, AK 99669-0493
Phone (907) 561-4362
National Provider Directory
National Provider DirectoryLocations
3220 Providence Dr
Ste E3-080
Anchorage, AK 99508
Phone (907) 375-8785
3220 Providence Dr
Ste E3
Anchorage, AK 99508
Phone (907) 770-3750
4120 Laurel St
Ste 204
Anchorage, AK 99508
Phone (907) 561-4362
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561680000000",
"number": "1154983294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 493",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996690493",
"telephone_number": "907-561-4362",
"fax_number": "907-563-4498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 LAUREL ST STE 204",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085392",
"telephone_number": "907-561-4362",
"fax_number": "907-563-4498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CABALLERO KOBZOFF MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-28",
"last_updated": "2019-06-28",
"status": "A",
"authorized_official_last_name": "CABALLERO",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "907-561-4362",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.