Individual provider Active NPI

Amit Kalra, DO

  • Sleep Medicine (Internal Medicine) Physician
  • Stockton, CA
National Provider Identifier
1174083547
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
20A21147 Issued in CA
Practice address
1801 E March LN Ste C310
Stockton, CA 95210-6683
Phone
(209) 465-5731
Fax
(209) 465-0230
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Sleep Medicine (Internal Medicine) Physician 207RS0012X 20A21147 CA Primary

Addresses

Primary practice location

1801 E March LN Ste C310
Stockton, CA 95210-6683

Mailing address

1801 E March LN Ste C310
Stockton, CA 95210-6683
Phone (209) 465-5731

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
I20231002001342 CA Practitioner - Sleep Medicine 5799139200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Bay Sleep Medical CenterGroup PAC ID 6800817586, 3 clinicians

Practice addresses (Care Compare)

1801 E March LN
Suite C310
Stockton, CA 95210-6683
Phone (209) 465-5731

27001 Calaroga Ave
Suite 1
Hayward, CA 94545-4345
Phone (510) 670-0246

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
78.83
Promoting interoperability
97
Improvement activities
40
Cost
75.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A21147CAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Sleep Disorders Center a California General Partnership Sleep Medicine CurrentSince Sep 18, 2023 Accepting new patients
East Bay Sleep Medical Center CurrentSince Oct 1, 2023 Accepting new patients

Locations

27001 Calaroga Ave
Ste 1
Hayward, CA 94545
Phone (510) 670-0246

1930 Tienda Dr
Ste 202
Lodi, CA 95242
Phone (209) 365-1110

1801 E March Ln
Ste C310
Stockton, CA 95210
Phone (209) 465-5731

1801 E March Ln
Ste C300
Stockton, CA 95210
Phone (209) 464-6422

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1174083547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE C310",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106683",
            "telephone_number": "209-465-5731",
            "fax_number": "209-465-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE C310",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106683",
            "telephone_number": "209-465-5731",
            "fax_number": "209-465-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALRA",
        "first_name": "AMIT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "20A21147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.