ROBERT KVALSTAD MD NPI 1699811745

NPI Information

NPI: 1699811745
Provider Name: ROBERT KVALSTAD, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
345 S HALCYON RD
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 473-7675
Get Directions

Robert Kvalstad, MD is a diagnostic radiology radiology in Arroyo Grande, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Robert Kvalstad, MD NPI is 1699811745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

345 S HALCYON RD
ARROYO GRANDE, CA
ZIP 93420-896
Phone: (805) 473-7675

The NPI 1699811745 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	A38636	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WA38636A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE GROUP
2	00A386360	MEDICAID	CALIFORNIA
3	E89959	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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