Individual provider Active NPI

Gurjeet S Kalkat, M.D.

  • Specialist
  • Glendora, CA
National Provider Identifier
1346298924
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A46604 Issued in CA
Practice address
435 E Gladstone St
Glendora, CA 91740-5159
Phone
(626) 963-5955
Fax
(951) 430-3367
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A46604 CA Primary

Addresses

Primary practice location

435 E Gladstone St
Glendora, CA 91740-5159

Mailing address

651 Valparaiso Dr
Claremont, CA 91711-1583
Phone (951) 334-9516

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
I20041213001119 CA Practitioner - Pulmonary Disease 5799742573 Practice locations: Glendora, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A46604CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gurjeet Kalkat LLC CurrentSince Jan 23, 2024 Accepting new patients

Locations

435 E Gladstone St
Glendora, CA 91740
Phone (626) 963-5955

415 W Carroll Ave
Ste 100
Glendora, CA 91741

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1346298924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 VALPARAISO DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111583",
            "telephone_number": "951-334-9516",
            "fax_number": "951-430-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E GLADSTONE ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405159",
            "telephone_number": "626-963-5955",
            "fax_number": "951-430-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALKAT",
        "first_name": "GURJEET",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A46604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.