KALONI SAM FNP-BC - NPI 1306681929 - Nurse Practitioner in Santa Ana, CA

Q: What is Kaloni Sam's NPI number?

The NPI number for Kaloni Sam is 1306681929. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Q: What is Kaloni Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kaloni Sam was last updated on June 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kaloni Sam Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALONI SAM FNP-BC (NPI 1306681929) is an individual family provider in Santa Ana, California, licensed in California (95025391) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306681929

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKALONI SAMCredential: FNP-BC

Location Address2010 E 1ST ST STE 100Santa Ana, CA 92705-4086

Mailing Address2010 E 1st St Ste 100Santa Ana, CA 92705-4086 · (714) 556-7246

Phone(714) 556-7246

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 26, 2024

NPPES CertifiedJune 26, 2024

✔ NPI 1306681929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95025391

2010 E 1ST ST STE 100, Santa Ana, CA 92705

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaloni Sam Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42715450

PECOS Enrollment IDI20250925004857

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANNETH BAUTISTA N.P.

Nurse Practitioner (Primary Care)