Organization Active NPI

T.M. Kalra, M.D., a Professional Corporation

  • Gastroenterology Physician
  • Newport Beach, CA
National Provider Identifier
1902086028
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A42400 Issued in CA
Legal business name
T.M. KALRA, M.D., A PROFESSIONAL CORPORATION
Practice address
520 Superior Ave
Suite 295
Newport Beach, CA 92663-3627
Phone
(949) 645-1967
Fax
(949) 645-1346
NPI assigned
Nov 6, 2007
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Tejinder M Kalra, M.D.
Title
President/Owner
Phone
(949) 645-1967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A42400 CA Primary

Addresses

Primary practice location

520 Superior Ave
Suite 295
Newport Beach, CA 92663-3627

Mailing address

520 Superior Ave
Suite 295
Newport Beach, CA 92663-3627
Phone (949) 645-1967

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1902086028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 295",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633627",
            "telephone_number": "949-645-1967",
            "fax_number": "949-645-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 295",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633627",
            "telephone_number": "949-645-1967",
            "fax_number": "949-645-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.M. KALRA, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "KALRA",
        "authorized_official_first_name": "TEJINDER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "949-645-1967",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A42400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.