Active NPI
Clinton Phillip Kalan, PA-C
- Physician Assistant
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4029
- Practice address
- 11600 W 2ND PL
Lakewood, CO 80228-1527 - Phone
- (303) 202-1280
- NPI assigned
- Feb 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2013-0004 | NM | |
| Physician Assistant | 363A00000X | 4029 | CO | Primary |
Addresses
Primary practice location
11600 W 2ND PL
Lakewood, CO 80228-1527
Mailing address
PO Box 5788
Denver, CO 80217-5788
Phone (303) 202-1280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 S Union Ave
Tacoma, WA 98405-1702
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Covington Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4029 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tacoma Emergency Care Physicians, PLLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Apex Emergency Group, Inc | Past | Accepting new patients | |
| Steadman Clinic Professional LLC | Past | Accepting new patients |
Locations
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Organizations & group practices 9
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1770823791
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1154818326
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1073854766
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1740231356
-
- Specialist
- Vail, CO
- NPI 1952327835
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Covington, WA
- NPI 1326564071
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1245570936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5788",
"city": "DENVER",
"state": "CO",
"postal_code": "802175788",
"telephone_number": "303-202-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 W 2ND PL",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281527",
"telephone_number": "303-202-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALAN",
"first_name": "CLINTON",
"middle_name": "PHILLIP",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-18",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2013-0004",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "4029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
- Kaiser Foundation Health Plan of Colorado
- Kaiser Foundation Health Plan of Colorado
- Kaiser Foundation Health Plan of Colorado
- Kaiser Permanente Foundation Healthplan of Colorado
- Christine E Kalamon, LCSW
- Kaleidoscope Center PLLC
- Kaleidoscope Therapy Services, LLC
- Kaleidoscope Therapy Services, LLC
- Kaleigh Robinson Medical, LLC
- Alexandra Kalinich, OTD, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.