Individual provider Active NPI

Nader Riad Kaldas, M.D.

  • Internal Medicine Physician
  • Livermore, CA
National Provider Identifier
1760492391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A50637 Issued in CA
Practice address
1370 Concannon Blvd
Livermore, CA 94550-6004
Phone
(925) 443-0313
Fax
(925) 443-0315
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A50637 CA Primary

Addresses

Primary practice location

1370 Concannon Blvd
Livermore, CA 94550-6004

Mailing address

1370 Concannon Blvd
Livermore, CA 94550-6004
Phone (925) 443-0313

Other identifiers 1

IdentifierTypeStateIssuer
00A506370MedicaidCA

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
I20101203001212 CA Practitioner - Internal Medicine 3274720198 Reassigns benefits to 3 organizations
Practice locations: Livermore, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
Jiva Health IncGroup PAC ID 5092115105, 46 clinicians

Practice addresses (Care Compare)

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

5555 W Las Positas Blvd
Pleasanton, CA 94588-4000
Phone (925) 373-4068

87 Fenton St
Livermore, CA 94550-4183
Phone (925) 443-0313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50637CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Internal Medicine CurrentSince Aug 13, 2014 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 13, 2014 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Jiva Health, Inc Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients

Locations

2182 East St
Concord, CA 94520
Phone (925) 392-4731

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

87 Fenton St
Ste 100
Livermore, CA 94550
Phone (925) 373-0710

795 El Camino Real
#1112
Palo Alto, CA 94301

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760492391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 CONCANNON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506004",
            "telephone_number": "925-443-0313",
            "fax_number": "925-443-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 CONCANNON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506004",
            "telephone_number": "925-443-0313",
            "fax_number": "925-443-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALDAS",
        "first_name": "NADER",
        "middle_name": "RIAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A506370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.