ALLAN G. KAVALICH M.D. – NPI #1639178692
Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
ALLAN KAVALICH is a physician located in SAN BERNARDINO, CA. NPPES has assigned the NPI number 1639178692 to ALLAN KAVALICH on July 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology
The NPI profile was previously updated about 14 years ago on Apr 03, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLAN KAVALICH below.
NPI Profile for
ALLAN G. KAVALICH
(about 21 years ago)
SAN BERNARDINO, CA 92404-5111 Phone: (909) 381-1595 Fax: (909) 381-3291
Identifiers for ALLAN KAVALICH
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CA | 00G293260 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RN0300X - Internal Medicine / Nephrology (Primary) |
CA | G29326 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
ALLAN KAVALICH is affiliated with the following medical group(s):
- DIALYSIS FACILITY
- DAVITA SERRANO DIALYSIS1800 Medical Center Dr. Suite 150
SAN BERNARDINO, CA 92411 - FMC-LOMA LINDA269 E. Caroline Street, Suite A
San Bernardino, CA 92408 - FMC-RAI-CARE CENTERS OF COLTON LLC1275 W. "C" Street
Colton, CA 92324 - FMC-RAI-INDIANA COURT-REDLANDS1449 W. Redlands Blvd.
Redlands, CA 92373 - FMC-RAI-NORTH RIVERSIDE-RIALTO1850 N. Riverside Avenue, Suite 150
Rialto, CA 92376
- DAVITA SERRANO DIALYSIS1800 Medical Center Dr. Suite 150
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