DR. MARK A. KALISH M.D. - NPI 1710911490 - Specialist in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Dr. Mark A. Kalish M.d. NPPES

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

DR. MARK A. KALISH M.D. (NPI 1710911490) is an individual specialist in San Diego, California, licensed in California (G38634) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710911490

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. MARK A. KALISHCredential: M.D.

Location Address3131 CAMINO DEL RIO N, SUITE 270San Diego, CA 92108-5701

Mailing Address3131 Camino Del Rio N, Suite 270San Diego, CA 92108-5701 · (619) 282-7172 · Fax (619) 282-7626

Phone(619) 282-7172

Fax(619) 282-7626

Sole ProprietorYes

Enumeration DateJuly 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710911490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G38634

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3131 CAMINO DEL RIO N, San Diego, CA 92108

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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)

Dr. Mark A. Kalish M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

DR. MARTHA ALANE INGHAM PHD, PSYCHOLOGIST

Psychologist (Clinical)

3131 CAMINO DEL RIO N, SUITE 370
SAN DIEGO, CA 92108

San Diego County (858) 705-3169

DR. SUFIAN OTOUM PHARM D

Pharmacist