NPIMap

Individual provider Active NPI

Kali Freeman, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Santa Maria, CA
National Provider Identifier
1427375625
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A115833 Issued in CA
Practice address
1400 E Church St
Santa Maria, CA 93454-5906
Phone
(805) 548-1550
NPI assigned
Apr 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A115833 CA Primary

Addresses

Primary practice location

1400 E Church St
Santa Maria, CA 93454-5906

Mailing address

PO Box 5158
San Luis Obispo, CA 93403-5158
Phone (805) 548-1550

Other names 1

  • Kali Tu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140805001250 CA Practitioner - Pathology 6901023597 Reassigns benefits to 3 organizations
I20170316000513 FL Practitioner - Pathology 6901023597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Ohio State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Pathology Services of the Central CoastGroup PAC ID 4284871658, 12 clinicians
Santa Maria Gastroenterology Medical Group Inc.Group PAC ID 6709070964, 23 clinicians

Practice addresses (Care Compare)

1414 E Main St
Suite 102
Santa Maria, CA 93454-4813
Phone (805) 739-3169

361 Town Ctr W
Santa Maria, CA 93458-5076
Phone (805) 922-6581

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.04 of 100Reported as group
Quality
78.07
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
74.86
Promoting interoperability
100
Improvement activities
40
Cost
73.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115833CAMDClinical Social Worker
A115833CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Jan 21, 2017 Accepting new patients
Yosemite Pathology Medical Group, Inc Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2014 Accepting new patients
Diagnostic Pathology Services of the Central Coast Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2020 Accepting new patients
Indian River Health Services Inc Anatomic Pathology & Clinical Pathology CurrentSince Jan 21, 2017 Accepting new patients
Yosemite Pathology Medical Group Past Accepting new patients
Yosemite Pathology Medical Group, in Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

3172 Collins Dr
Ste B
Merced, CA 95348
Phone 2095771200220

4301 N Star Way
Ste A
Modesto, CA 95356

2625 Coffee Rd
Ste S
Modesto, CA 95355
Phone (208) 577-1200

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

1414 E Main St
Ste 102
Santa Maria, CA 93454
Phone (805) 548-1550

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1000 36th St
Ste 2234
Vero Beach, FL 32960
Phone (954) 689-5173

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1427375625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5158",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934035158",
            "telephone_number": "805-548-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E CHURCH ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545906",
            "telephone_number": "805-548-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A115833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALI",
            "last_name": "TU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.