Tejinder M Kalra, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A42400 Issued in CA

Legal business name

TEJINDER M KALRA, MD

Practice address

415 Old Newport Blvd
Ste 102
Newport Beach, CA 92663-4248

Phone

(949) 645-1967

Fax

(949) 645-1346

NPI assigned

Jul 17, 2007

Last updated

Jul 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tejinder M Kalra, M.D.

Title

Owner/Physician

Phone

(949) 645-1967

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1437358504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 OLD NEWPORT BLVD",
            "address_2": "STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634248",
            "telephone_number": "949-645-1967",
            "fax_number": "949-645-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 OLD NEWPORT BLVD",
            "address_2": "STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634248",
            "telephone_number": "949-645-1967",
            "fax_number": "949-645-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJINDER M KALRA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "KALRA",
        "authorized_official_first_name": "TEJINDER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "949-645-1967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A42400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0052630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.