Individual provider Active NPI

Kalman Eugen Holdy, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Diego, CA
National Provider Identifier
1285746073
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
G026103 Issued in CA
Practice address
3268 Governor Dr
Suite #400
San Diego, CA 92122-2902
Phone
(858) 344-1846
Fax
(858) 587-2192
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X G026103 CA Primary

Addresses

Primary practice location

3268 Governor Dr
Suite #400
San Diego, CA 92122-2902

Mailing address

3268 Governor Dr
Suite #400
San Diego, CA 92122-2902
Phone (858) 344-1846

Other identifiers 1

IdentifierTypeStateIssuer
00G261030MedicaidCA

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
I20031210001114 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 4789580663

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of California, San Diego School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3268 Governor Dr
Suite 400
San Diego, CA 92122-2902

6228 Angell PL
San Diego, CA 92122-2108

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G026103CAMDEndocrinology, Diabetes & Metabolism Physician

Hospital & facility affiliations 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1285746073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 GOVERNOR DR",
            "address_2": "SUITE #400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222902",
            "telephone_number": "858-344-1846",
            "fax_number": "858-587-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3268 GOVERNOR DR",
            "address_2": "SUITE #400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222902",
            "telephone_number": "858-344-1846",
            "fax_number": "858-587-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDY",
        "first_name": "KALMAN",
        "middle_name": "EUGEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G026103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G261030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.