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KELKER PROFESSIONAL CORPORATION
NPI 1376488577
Internal Medicine - Critical Care Medicine in Colton, CA

Active since April 22, 2026
1550 E WASHINGTON, ST 103, COLTON, CA 92324(909) 222-6990(909) 236-5314 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2026, Apr 22, 2026 (2 updates tracked since 2026).

About Kelker Professional Corporation NPPES

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

KELKER PROFESSIONAL CORPORATION (NPI 1376488577), doing business as Lacasa Medical Group, is a healthcare organization registered as a critical care medicine in Colton, California and active in the NPI registry since April 2026. The organization lists Tariq Kelker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376488577
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameKELKER PROFESSIONAL CORPORATION
Location Address1550 E WASHINGTON, ST 103Colton, CA 92324-4624
Mailing Address1550 E Washington StColton, CA 92324-4624 · (909) 222-6990 · Fax (909) 236-5314
Phone(909) 222-6990
Fax(909) 236-5314
Organization SubpartNo
Authorized OfficialTariq KelkerCeo · (310) 810-6554
Enumeration DateApril 22, 2026
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1376488577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
1550 E WASHINGTON, Colton, CA 92324
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Other Names 1

Doing Business AsLacasa Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelker Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelker Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tariq Kelker, M.D.
Critical Care (Intensivists)
NPI 1255771291
4445 MAGNOLIA AVE DEPT OF TRAUMA
Riverside, CA 92501
(714) 330-1844
✔ PECOS✔ Accepts Medicare6.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelker Professional Corporation's NPI number?

The NPI number for Kelker Professional Corporation is 1376488577. It was assigned to this organization in the NPPES registry on April 22, 2026. The provider is doing business as Lacasa Medical Group.

Where is Kelker Professional Corporation located?

Kelker Professional Corporation is located at 1550 E Washington St 103, Colton, CA 92324. The listed phone number is (909) 222-6990.

What is Kelker Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Kelker Professional Corporation enrolled in Medicare?

Yes. Kelker Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelker Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Critical Care (Intensivists)) reassigns their Medicare billing to Kelker Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelker Professional Corporation was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.