Robert Kvalstad, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A38636 Issued in CA

Practice address

345 S Halcyon Rd
Arroyo Grande, CA 93420-3896

Phone

(805) 473-7675

NPI assigned

Jan 29, 2007

Last updated

Aug 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1699811745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1507",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934651507",
            "telephone_number": "805-434-4989",
            "fax_number": "805-286-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S HALCYON RD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203896",
            "telephone_number": "805-473-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVALSTAD",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A38636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A386360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Kremidas, MC, APCC
• Hans Michael Kulla-Mader, MA, AMFT
• James Richard Kunkel, MD
• Maurina Linda Kusell, DDS
• Hailey Kutch
• Kyle Moser DC LLC (Kyle Moser DC)
• La Laser Center PC a Professional Medical Corporation (Arroyo Grande Dermatology & Skin Cancer)
• Alyssa Labrado
• Nicholas David Lacey, PT, DPT
• Tom Lachapelle

• Diagnostic Radiology Physician in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.