Individual provider Active NPI

Nader Kalantar, M.D.

  • Otolaryngology Physician
  • San Dimas, CA
National Provider Identifier
1598854978
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A115578 Issued in CA
Practice address
1334 W Covina Blvd
Suite 201
San Dimas, CA 91773-3211
Phone
(909) 592-2078
Fax
(909) 592-0279
NPI assigned
Oct 12, 2006
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X TRN10472 FL
Otolaryngology Physician 207Y00000X A115578 CA Primary

Addresses

Primary practice location

1334 W Covina Blvd
Suite 201
San Dimas, CA 91773-3211

Mailing address

1334 W Covina Blvd
Suite 201
San Dimas, CA 91773-3211
Phone (909) 592-2078

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
I20110922000521 CA Practitioner - Otolaryngology 8123299179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1334 W Covina Blvd
Suite 201
San Dimas, CA 91773-3211
Phone (909) 592-2078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115578CAMDOtolaryngology Physician
TRN10472FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Battaglia M D Inc Otolaryngology CurrentSince Dec 15, 2014 Accepting new patients
Nader Kalantar MD Inc CurrentSince Jan 9, 2018 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

10 Congress St
Ste 103
Pasadena, CA 91105
Phone (626) 795-0282

547 E Union St
Pasadena, CA 91101
Phone (626) 796-6164

1334 W Covina Blvd
Ste 201
San Dimas, CA 91773
Phone (909) 592-2078

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1598854978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 W COVINA BLVD",
            "address_2": "SUITE 201",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733211",
            "telephone_number": "909-592-2078",
            "fax_number": "909-592-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 W COVINA BLVD",
            "address_2": "SUITE 201",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733211",
            "telephone_number": "909-592-2078",
            "fax_number": "909-592-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALANTAR",
        "first_name": "NADER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "TRN10472",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A115578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.