Individual provider Active NPI

Eric George Kaldor, M.D.

  • Internal Medicine Physician
  • Burlingame, CA
National Provider Identifier
1801818273
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A87622 Issued in CA
Practice address
1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone
(650) 315-5313
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A87622 CA Primary
Pediatrics Physician 208000000X A87622 CA

Addresses

Primary practice location

1501 Trousdale Dr
Burlingame, CA 94010-4506

Mailing address

154 Laidley St
Apt#1
San Francisco, CA 94131-2753
Phone (650) 315-5313

Other identifiers 1

IdentifierTypeStateIssuer
00A876220MedicaidCA

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
I20050809000514 CA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1658337340 Reassigns benefits to 2 organizations
Practice locations: Burlingame, CA; Kentfield, CA; San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalists of the PeninsulaGroup PAC ID 7416197496, 3 clinicians

Practice addresses (Care Compare)

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (408) 988-4888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87622CAMDPharmacist
A87622CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalists of the Peninsula Internal Medicine CurrentSince Apr 17, 2013 Accepting new patients
Vibra Physicians LLC CurrentSince Feb 3, 2020 Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Inpatient Consultants of California, Inc Internal Medicine Past Accepting new patients

Locations

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

5 E River Park Pl E
Ste 460
Fresno, CA 93720

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

450 Stanyan St
Fl 6
San Francisco, CA 94117
Phone (415) 456-9680

Interoperability endpoints

  • Direct secure messaging: ekaldormd45962@hisp.ehr.sutterhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1801818273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 LAIDLEY ST",
            "address_2": "APT#1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312753",
            "telephone_number": "650-315-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 TROUSDALE DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104506",
            "telephone_number": "650-315-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALDOR",
        "first_name": "ERIC",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A87622",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A87622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A876220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.