Individual provider Active NPI

James George Kalkanis, MD

  • Otolaryngology Physician
  • Corona, CA
National Provider Identifier
1417039637
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A82979 Issued in CA
Practice address
341 Magnolia Avenue
Suite 206
Corona, CA 92879-3332
Phone
(951) 735-0470
Fax
(951) 735-2842
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 A82979 CA Primary

Addresses

Primary practice location

341 Magnolia Avenue
Suite 206
Corona, CA 92879-3332

Mailing address

341 Magnolia Avenue
Suite 206
Corona, CA 92879-3332
Phone (951) 735-0470

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
I20050314000933 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 0941255889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

341 Magnolia Ave
Corona, CA 92879-3332
Phone (951) 735-0470

40285 Winchester Rd
Suite 104
Temecula, CA 92591-5547
Phone (951) 296-6355

Hospital & facility affiliations

  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82979CAMDMarriage & Family Therapist
A82979CAMDOtolaryngology Physician

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
James G. Kalkanis, MD a Medical Corporation Otolaryngology CurrentSince Sep 2, 2003 Accepting new patients

Locations

341 Magnolia Ave
Ste 206
Corona, CA 92879
Phone (951) 554-5778

40285 Winchester Rd
Ste 104
Temecula, CA 92591
Phone (951) 296-6355

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGEHCD/Endpoint/FGEHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGEHCD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1417039637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVENUE",
            "address_2": "SUITE 206",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793332",
            "telephone_number": "951-735-0470",
            "fax_number": "951-735-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVENUE",
            "address_2": "SUITE 206",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793332",
            "telephone_number": "951-735-0470",
            "fax_number": "951-735-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALKANIS",
        "first_name": "JAMES",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A82979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.