Paul Kalfell, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11123 Issued in CA

Practice address

41820 Garstin Drive
Box 1649
Big Bear Lake, CA 92315

Phone

(909) 878-8246

NPI assigned

Dec 21, 2016

Last updated

Dec 21, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1710422126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CORNICHE DR UNIT H",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294023",
            "telephone_number": "949-922-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41820 GARSTIN DRIVE",
            "address_2": "BOX 1649",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-878-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALFELL",
        "first_name": "PAUL",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "11123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Lynn Janco-Plourde, D.C.
• Trilby L Jasinski, D.C.
• Selia Rene Jimenez, LMT
• Joshua Marshall Licensed Clinical Social Worker Inc.
• Babetta Juergens
• Jae Hwi Kang
• Chimwemwe Kawonga
• Paula Frankie Kennedy
• Sherin Kershah
• Gene Webster Kessinger Jr.

• Pediatric Nurse Practitioner in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.