Individual provider Active NPI

Kunal P Kalra, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Victorville, CA
National Provider Identifier
1205015468
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
C162071 Issued in CA
Practice address
12490 Business Center Dr Ste 100
Victorville, CA 92395-5833
Phone
(760) 242-7777
Fax
(888) 847-5757
NPI assigned
Oct 24, 2007
Last updated
Sep 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 4301099761 MI
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X C162071 CA Primary

Addresses

Primary practice location

12490 Business Center Dr Ste 100
Victorville, CA 92395-5833

Mailing address

17100B Bear Valley Rd # 283
Victorville, CA 92395-5851

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
I20081028000199 CA Practitioner - Orthopedic Surgery 8921166489 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians

Practice addresses (Care Compare)

160 E Artesia St
Suite 255
Pomona, CA 91767-2921
Phone (909) 596-4346

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C162071CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic Trauma Specialists, PMC Orthopaedic Surgery CurrentSince Jan 15, 2025 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Sports Medicine and Orthopaedic Institute Orthopaedic Surgery CurrentSince May 1, 2020 Accepting new patients
Desert Valley Medical Group, Inc. Orthopaedic Surgery CurrentSince Jul 27, 2020 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Jul 27, 2020 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
VHS Childrens Hospital of Michigan Inc Past Accepting new patients
VHS Detroit Receiving Hospital Inc Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
University of California Irvine Past Accepting new patients
Wayne State University School of Medicine Past Accepting new patients
Children's Hospital of Orange County Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
VHS Huron Valley-Sinai Hospital Inc Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

1890 W Main St
Ste 130
Barstow, CA 92311
Phone (442) 255-4012

25805 Barton Rd
Loma Linda, CA 92354
Phone (909) 315-6909

160 E Artesia St
Ste 255
Pomona, CA 91767
Phone (909) 620-0900

160 E Artesia St
Ste 360
Pomona, CA 91767
Phone (909) 629-4604

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1250 N Waterman Ave Ste 302303
San Bernardino, CA 92404

400 N Mountain Ave
Ste 100
Upland, CA 91786

600 N Euclid Ave
Ste 202
Upland, CA 91786
Phone (840) 237-3344

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

12490 Business Center Dr
#100
Victorville, CA 92395
Phone (605) 528-5857

12490 Business Center Dr
Ste 100
Victorville, CA 92395
Phone (760) 522-8585

13010 Hesperia Rd
Ste 600
Victorville, CA 92395
Phone (760) 350-2498

16850 Bear Valley Rd
Victorville, CA 92395

16850 Bear Valley Rd
Ste 101
Victorville, CA 92395

17100 Bear Valley Rd
Ste B
Victorville, CA 92395
Phone (442) 242-3040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kunal.kalra.1@20474.direct.athenahealth.com
  • Direct secure messaging: kunal.kalra.p1@direct.dvmg.nextgenshare.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

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": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1205015468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100B BEAR VALLEY RD # 283",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12490 BUSINESS CENTER DR STE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955833",
            "telephone_number": "760-242-7777",
            "fax_number": "888-847-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALRA",
        "first_name": "KUNAL",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "4301099761",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "C162071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.