Individual provider Active NPI

Beatrice Cardenas Kalata, MD

  • General Practice Physician
  • Lawndale, CA
National Provider Identifier
1801984554
Registry record updated Aug 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A43106 Issued in CA
Practice address
14829 Hawthorne Blvd
#201
Lawndale, CA 90260
Phone
(310) 973-6727
Fax
(310) 973-0661
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A43106 CA Primary
Dermatology Physician 207N00000X A43106 CA

Addresses

Primary practice location

14829 Hawthorne Blvd
#201
Lawndale, CA 90260

Mailing address

14829 Hawthorne Blvd
#201
Lawndale, CA 90260
Phone (310) 973-6727

Other identifiers 1

IdentifierTypeStateIssuer
A43106MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A43106CAMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280620800000",
    "number": "1801984554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14829 HAWTHORNE BLVD",
            "address_2": "#201",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "310-973-6727",
            "fax_number": "310-973-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14829 HAWTHORNE BLVD",
            "address_2": "#201",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "310-973-6727",
            "fax_number": "310-973-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALATA",
        "first_name": "BEATRICE",
        "middle_name": "CARDENAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A43106",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A43106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A43106",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2010; 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.