NPIMap

Organization Active NPI

Naji Kandalaft MD Inc.

  • Interventional Cardiology Physician
  • Glendora, CA
National Provider Identifier
1548382203
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A46044 Issued in CA
Legal business name
NAJI KANDALAFT MD INC.
Practice address
412 W Carroll Ave
Suite 204
Glendora, CA 91741-4240
Phone
(626) 852-8873
Fax
(626) 852-8874
NPI assigned
Apr 4, 2007
Last updated
Mar 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Dr. Naji Kandalaft, M.D.NPI 1578577813
Title
President
Phone
(626) 852-8873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU
Interventional Cardiology Physician 207RI0011X A46044 CA Primary
Nuclear Cardiology Physician 207UN0901X NU

Addresses

Primary practice location

412 W Carroll Ave
Suite 204
Glendora, CA 91741-4240

Mailing address

412 W Carroll Ave
Suite 204
Glendora, CA 91741-4240
Phone (626) 852-8873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326001433 CA Part B Supplier - Clinic/Group Practice 0840182564 Receives reassigned benefits from 2 practitioners
Practice locations: Glendora, CA

National Provider Directory

National Provider Directory

Locations

1501 S Baldwin Ave
Ste a
Arcadia, CA 91007
Phone (626) 852-8873

412 W Carroll Ave
Ste 204
Glendora, CA 91741
Phone (626) 852-8873

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1548382203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE",
            "address_2": "SUITE 204",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414240",
            "telephone_number": "626-852-8873",
            "fax_number": "626-852-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE",
            "address_2": "SUITE 204",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414240",
            "telephone_number": "626-852-8873",
            "fax_number": "626-852-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAJI KANDALAFT MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "KANDALAFT",
        "authorized_official_first_name": "NAJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-852-8873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A46044",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.