Individual provider Active NPI

Tony Kastoon, M.D.

  • Internal Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1184636235
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301076855 Issued in MI
Practice address
399 E Highland Ave Ste 227
San Bernardino, CA 92404-3851
Phone
(909) 882-1210
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301076855 MI Primary

Addresses

Primary practice location

399 E Highland Ave Ste 227
San Bernardino, CA 92404-3851

Mailing address

399 E Highland Ave Ste 227
San Bernardino, CA 92404-3851
Phone (909) 882-1210

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
I20130131000245 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 0547158271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bashar G Saad MD IncGroup PAC ID 7810012523, 3 clinicians

Practice addresses (Care Compare)

399 E Highland Ave
Suite 227
San Bernardino, CA 92404-3851
Phone (909) 793-5511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
57.89
Improvement activities
40
Cost
75.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bashar G Saad MD Inc CurrentSince Dec 18, 2012 Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Hospital Consultants, P.C. Internal Medicine Past Accepting new patients
Primecare Medical Group Internal Medicine Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Waad Dakkak PLLC Internal Medicine Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

1820 Fullerton Ave
Ste 260
Corona, CA 92881
Phone (909) 735-2700

210 S Grand Ave
Ste 224
Glendora, CA 91741
Phone (626) 335-8094

615 E Foothill Blvd
Ste C
San Dimas, CA 91773
Phone (626) 335-8094

399 E Highland Ave
Ste 227
Sn Bernrdno, CA 92404
Phone (909) 381-1595

164 W Hospitality Ln
Ste 119
Sn Bernrdno, CA 92408
Phone (909) 882-1210

399 E Highland Ave
Ste 427
Sn Bernrdno, CA 92404
Phone (909) 881-6662

630 N 13th Ave
Ste F
Upland, CA 91786
Phone (909) 946-3826

630 N 13th Ave
Ste E
Upland, CA 91786
Phone (909) 946-6676

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1184636235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 227",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043851",
            "telephone_number": "909-882-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 227",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043851",
            "telephone_number": "909-882-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTOON",
        "first_name": "TONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.