Active NPI
Arputharaj Higgins Kore, MD
- Transplant Surgery Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- 00AS18240
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0079700 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00AS18240 | CA | MD | Transplant Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Surgery | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | 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
- 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.
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- NPI 1689624991
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": []
}
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- Kooley Transportation
- Sakorn Koonopakarn, M.D.
- David Stewart Koslov, MD
- Douglas M Krahn, M.D.
- Raymond Davies Kramer, M.D.
- Shawn Elliott Kratofil, MSN, FNP-C
- Waylon Don Kreneck, RADT-1, PSS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.