Organization Active NPI

Kayali Consulting and Medical Management Inc

  • Gastroenterology Physician
  • Rialto, CA
National Provider Identifier
1205207628
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A71164 Issued in CA
Legal business name
KAYALI CONSULTING AND MEDICAL MANAGEMENT INC
Practice address
2006 N Riverside Ave
Ste a
Rialto, CA 92377-4696
Phone
(909) 883-2999
NPI assigned
Oct 12, 2015
Last updated
Mar 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
Zeid Kayali, MDNPI 1396777538
Title
President
Phone
(909) 517-3501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A71164 CA Primary

Addresses

Primary practice location

2006 N Riverside Ave
Ste a
Rialto, CA 92377-4696

Mailing address

2006 W Riverside Ave
Ste a
Rialto, CA 92377
Phone (909) 883-2999

Other identifiers 1

IdentifierTypeStateIssuer
CB249824OtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

513 E Lime Ave
Ste 203
Monrovia, CA 91016
Phone (626) 535-3084

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1205207628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 W RIVERSIDE AVE",
            "address_2": "STE A",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "92377",
            "telephone_number": "909-883-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 N RIVERSIDE AVE",
            "address_2": "STE A",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774696",
            "telephone_number": "909-883-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYALI CONSULTING AND MEDICAL MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "KAYALI",
        "authorized_official_first_name": "ZEID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-517-3501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A71164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB249824",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.