Individual provider Active NPI

Arputharaj Higgins Kore, MD

  • Transplant Surgery Physician
  • San Bernardino, CA
National Provider Identifier
1639286495
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
00AS18240 Issued in CA
Practice address
197 East Caroline Street
Suite 1400
San Bernardino, CA 92408-3729
Phone
(909) 558-3636
Fax
(909) 558-3722
NPI assigned
Aug 25, 2006
Last updated
Sep 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 00AS18240 CA Primary
Surgery Physician 208600000X 00AS18240 CA
Vascular Surgery Physician 2086S0129X 00AS18240 CA

Addresses

Primary practice location

197 East Caroline Street
Suite 1400
San Bernardino, CA 92408-3729

Mailing address

PO Box 670
Redlands, CA 92373
Phone (909) 777-3397

Other identifiers 1

IdentifierTypeStateIssuer
GR0079700MedicaidCA

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
I20070410000629 CA Practitioner - General SurgeryPractitioner - Internal MedicinePractitioner - Other (Physician) 6002911658 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00AS18240CAMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Surgery Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jun 2, 2014 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jun 2, 2014 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11234 Anderson St
Ste 1405
Loma Linda, CA 92350
Phone (909) 558-4252

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828

25865 Barton Rd
Ste 101
Loma Linda, CA 92354
Phone (909) 558-2890

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541

197 E Caroline St
Ste 1400
San Bernardino, CA 92408
Phone (800) 548-3790

Interoperability endpoints

  • Direct secure messaging: akore8406@direct.llu.edu

Organizations & group practices 4

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1639286495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-777-3397",
            "fax_number": "909-777-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 EAST CAROLINE STREET",
            "address_2": "SUITE 1400",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083729",
            "telephone_number": "909-558-3636",
            "fax_number": "909-558-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORE",
        "first_name": "ARPUTHARAJ",
        "middle_name": "HIGGINS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "00AS18240",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "00AS18240",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "00AS18240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.