Allan G Kavalich MD Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G29326 Issued in CA

Legal business name

ALLAN G KAVALICH MD INC

Practice address

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

Phone

(909) 381-1595

Fax

(909) 381-3291

NPI assigned

Aug 26, 2010

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allan G Kavalich, M.D.NPI 1639178692

Title

Ceo

Phone

(909) 381-1595

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Allan G Kavalich, M.D.

  • Nephrology Physician
  • San Bernardino, CA
  • NPI 1639178692
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1215243340",
    "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": "909-381-1595",
            "fax_number": "909-381-3291"
        },
        {
            "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": "909-381-1595",
            "fax_number": "909-381-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN G KAVALICH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "KAVALICH",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-381-1595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G29326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G293260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.