Individual provider Active NPI

William J. Kalanta, DPM

  • Foot Surgery Podiatrist
  • Ceres, CA
National Provider Identifier
1689751398
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E2136 Issued in CA
Practice address
1941 Mitchell Rd
Ste-R
Ceres, CA 95307-2434
Phone
(209) 538-1731
Fax
(209) 581-0540
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E2136 CA Primary

Addresses

Primary practice location

1941 Mitchell Rd
Ste-R
Ceres, CA 95307-2434

Mailing address

1941 Mitchell Rd
Ste-R
Ceres, CA 95307-2434
Phone (209) 538-1731

Other identifiers 1

IdentifierTypeStateIssuer
E21361MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100506000415 CA Practitioner - Podiatry 4789712050 Practice locations: Ceres, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2136CAMDFoot Surgery Podiatrist
2136CAMDMicrobiology Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Family Health Centers Inc. Past Accepting new patients
William J Kalanta D.P.M. PastSince Jul 1, 1985 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kalanta.williamdpm.p1@direct.castle.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1689751398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 MITCHELL RD",
            "address_2": "STE-R",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072434",
            "telephone_number": "209-538-1731",
            "fax_number": "209-581-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 MITCHELL RD",
            "address_2": "STE-R",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072434",
            "telephone_number": "209-538-1731",
            "fax_number": "209-581-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALANTA",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E21361",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

Verify at the official NPI Registry.