Organization Active NPI

Calcasieu Primary Care LLC

  • Internal Medicine Physician
  • Sulphur, LA
National Provider Identifier
1861887531
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CALCASIEU PRIMARY CARE LLC
Practice address
3649 S Beglis Pkwy
Sulphur, LA 70665-8107
Phone
(337) 446-2928
NPI assigned
Mar 31, 2015
Last updated
Mar 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Nitin Malla
Title
Member
Phone
(337) 446-2928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

3649 S Beglis Pkwy
Sulphur, LA 70665-8107

Mailing address

3649 S Beglis Pkwy
Sulphur, LA 70665-8107

National Provider Directory

National Provider Directory

Locations

3649 S Beglis Pkwy
Sulphur, LA 70665
Phone (337) 446-2928

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1861887531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 S BEGLIS PKWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706658107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 S BEGLIS PKWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706658107",
            "telephone_number": "337-446-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "MALLA",
        "authorized_official_first_name": "NITIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "337-446-2928"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.