Individual provider Active NPI

Kalpna Durairaj, M.D

  • Otolaryngology Physician
  • Sun Valley, CA
National Provider Identifier
1366488603
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A56015 Issued in CA
Practice address
9375 San Fernando Rd
Sun Valley, CA 91352-1418
Phone
(818) 768-3000
Fax
(818) 504-4690
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A56015 CA Primary

Addresses

Primary practice location

9375 San Fernando Rd
Sun Valley, CA 91352-1418

Mailing address

9375 San Fernando Rd
Sun Valley, CA 91352-1418
Phone (818) 768-3000

Other identifiers 1

IdentifierTypeStateIssuer
00A560150MedicaidCA

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
I20050303001074 CA Practitioner - Otolaryngology 5092769877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Southern California Keck School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Fairmount Ave
Suite 325
Pasadena, CA 91105-3153
Phone (626) 316-7033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56015CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
K Kay Durairaj MD a Medical Corporation CurrentSince Aug 1, 2010 Accepting new patients
Serra Community Medical Clinic, Inc. CurrentSince Sep 2, 2002 Accepting new patients
Serra Community Medical Clinic Inc CurrentSince Sep 2, 2002 Accepting new patients
Pacifica of the Valley Corporation Past Accepting new patients
ENT Surgical Associates Otolaryngology Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

800 Fairmount Ave
Ste 325
Pasadena, CA 91105
Phone (626) 316-7033

301 S Fair Oaks Ave
Ste 207
Pasadena, CA 91105
Phone (626) 289-1080

9375 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 504-4700

Interoperability endpoints

  • Direct secure messaging: duk108pcs@m1606.primeclinicalsystems.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1366488603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521418",
            "telephone_number": "818-768-3000",
            "fax_number": "818-504-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521418",
            "telephone_number": "818-768-3000",
            "fax_number": "818-504-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAIRAJ",
        "first_name": "KALPNA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A56015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A560150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

Verify at the official NPI Registry.