Allan G Kavalich, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G29326 Issued in CA

Practice address

1500 N Waterman Ave
San Bernardino, CA 92404-5111

Phone

(909) 381-1595

Fax

(909) 381-3291

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nephrology

Education

University of Miami, LM Miller School of Medicine, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Kidney SpecialistsGroup PAC ID 0345232096, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Citrus Valley Dialysis Dialysis facility, San Bernardino, CA, CCN 552541

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/5192cc27-2764-47df-a8de-8ad1cf29ade6/

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.

• Allan G Kavalich MD Inc

  • Nephrology Physician
  • San Bernardino, CA
  • NPI 1215243340
  Medicare reassignment NPD Authorized official
• California Kidney Specialists

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1760497457
  Medicare reassignment Care Compare group NPD
• San Bernardino Valley Home Dialysis Center, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Bernardino, CA
  • NPI 1366469363
  NPD Authorized official
• Community Hospital of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• Redlands Community Hospital

  • General Acute Care Hospital
  • Redlands, CA
  • NPI 1043354111
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Renal Treatment Centers California Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Bernardino, CA
  • NPI 1043271489

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1639178692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045111",
            "telephone_number": "909-381-1595",
            "fax_number": "909-381-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045111",
            "telephone_number": "909-381-1595",
            "fax_number": "909-381-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVALICH",
        "first_name": "ALLAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G29326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G293260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Kaufman, MS, CCC-SLP
• Harbeen Kaur
• Kiratbir Kaur
• Rajbir Kaur
• Vinod Kumar Kaura, MD
• Cameron Kavoosi, MD
• Kaykam Medical Solutions Inc.
• Kathyah Gabriel Kaysarn
• Kci USA, Inc.
• John P Kearney, M.D.

• Nephrology Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.