Active NPI
Kasimu Frank Kalala, FNP
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 234713
- Practice address
- 1807 W Van Buren St
Phoenix, AZ 85007-2468 - Phone
- (480) 660-5913
- NPI assigned
- Jun 21, 2019
- Last updated
- Sep 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP142884 | TX | |
| Family Nurse Practitioner | 363LF0000X | 234713 | AZ | Primary |
Addresses
Primary practice location
1807 W Van Buren St
Phoenix, AZ 85007-2468
Mailing address
PO Box 96770
Phoenix, AZ 85072-6770
Phone (480) 660-5913
Other practice location 1
US 191 & Az 264
Ganado, AZ 86505
Phone (928) 755-4632
Other practice location 2
3902 Impatiens Vw
San Antonio, TX 78245-2961
Phone (210) 307-5387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Navajo Health Foundation-Sage Memorial Hospital, Inc.
Practice addresses (Care Compare)
State Hwy 264 JCT Hwy 191
Ganado, AZ 86505-0457
Phone 92875545004933
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234713 | AZ | MD | Family Nurse Practitioner |
| AP142884 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidalgo Medical Services | Current | Accepting new patients | |
| Hidalgo Medical Services | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital, Inc. | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital Inc | Current | Accepting new patients | |
| Hidalgo Medical Services | Current | Accepting new patients | |
| In-Line Health Clinic | Current | Accepting new patients | |
| Corner Health Medical Group P a | Family | Past | Accepting new patients |
Locations
1807 W Van Buren St
Phoenix, AZ 85007
Phone (480) 397-1379
530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2369
1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sage Memorial Physicians
- Rural Acute Care Hospital
- Ganado, AZ
- NPI 1477735777
-
dba HMS
- Federally Qualified Health Center (FQHC)
- Lordsburg, NM
- NPI 1306843180
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1205689171
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1851232037
-
dba Sage Memorial Hospital
- Critical Access Hospital Clinic/Center
- Ganado, AZ
- NPI 1518957398
-
dba Tu Casa
- Federally Qualified Health Center (FQHC)
- Silver City, NM
- NPI 1467971986
-
dba HMS Lordsburg High School Health Center
- Federally Qualified Health Center (FQHC)
- Lordsburg, NM
- NPI 1689881245
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sage Memorial Hospital
- Critical Access Hospital Clinic/Center
- Ganado, AZ
- NPI 1518957398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1912568908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96770",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850726770",
"telephone_number": "480-660-5913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 W VAN BUREN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850072468",
"telephone_number": "480-660-5913"
}
],
"practiceLocations": [
{
"address_1": "US 191 & AZ 264",
"address_purpose": "LOCATION",
"city": "Ganado",
"state": "AZ",
"postal_code": "86505",
"country_code": "US",
"telephone_number": "928-755-4632",
"fax_number": "928-755-4831",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3902 Impatiens Vw",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782452961",
"country_code": "US",
"telephone_number": "210-307-5387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALALA",
"first_name": "KASIMU",
"middle_name": "FRANK",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-21",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP142884",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "234713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.