Individual provider Active NPI

Anna Kalmanovich, RPA-C

  • Physician Assistant
  • Long Beach, CA
National Provider Identifier
1831259910
Registry record updated Jun 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57874 Issued in CA
Practice address
1043 Elm Ave Ste 104
Long Beach, CA 90813-3244
Phone
(562) 590-0345
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 57874 CA Primary

Addresses

Primary practice location

1043 Elm Ave Ste 104
Long Beach, CA 90813-3244

Mailing address

1043 Elm Ave Ste 104
Long Beach, CA 90813-3244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090108000229 NY Practitioner - Physician Assistant 2769545375 Reassigns benefits to 1 organization
I20201006003158 CA Practitioner - Physician Assistant 2769545375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

1601 Avocado Ave
Newport Beach, CA 92660-7798
Phone (949) 763-2204

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57874CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Shores Medical Group, Inc. CurrentSince Jun 23, 2020 Accepting new patients
City of Hope Medical Foundation CurrentSince Aug 8, 2021 Accepting new patients
Weill Medical College of Cornell CurrentSince Dec 28, 2015 Accepting new patients
Pacific Shores Medical Group, Inc. CurrentSince Jun 23, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Dec 28, 2015 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Weill Medical College of Cornell Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Hoag Orthopedic Institute LLC Past Accepting new patients

Locations

222 W Eulalia St
Ste 100B
Glendale, CA 91204
Phone (562) 430-5900

19582 Beach Blvd
Ste 212
Huntington Beach, CA 92648
Phone (714) 252-9415

16300 Sand Canyon Ave
Ste 207
Irvine, CA 92618
Phone (714) 252-9415

1043 Elm Ave
Ste 104
Long Beach, CA 90813
Phone (562) 495-6118

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

520 E 70th St
Ste 341
New York, NY 10021
Phone (212) 746-2087

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#M
New York, NY 10065
Phone (212) 746-2850

520 E 70th St
#341
New York, NY 10021
Phone (212) 746-7576

Interoperability endpoints

  • Direct secure messaging: akalmanovich81790@cityofhope.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592611200000",
    "number": "1831259910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133244",
            "telephone_number": "562-590-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMANOVICH",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.