Mark Kahlen

Physician • Rsm, CA

Deactivated NPI 1346733805 Deactivated in NPPES Male Practitioner

Practice location in NPPES

1018 Sable
Rsm, CA 926885586

Phone: 7149244460

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of August 19, 2018; the reason is not published. The records below are historical. They do not show whether Mark Kahlen currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date June 10, 2018

NPI Deactivation Date August 19, 2018

NPI Active Period 2018 – 2018

Practice Location & Contact Primary Location

Practice Address

1018 Sable

Rsm, CA 926885586

Telephone 7149244460

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What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Rsm and California

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Public Health or Welfare Primary Specialty

NUCC Taxonomy Code: 251K00000X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated August 19, 2018

NPPES lists this NPI as deactivated as of August 19, 2018; the reason is not published.

✅

NPI Profile Active June 10, 2018

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) June 10, 2018

Registered at 1018 SABLE, RSM, CA 926885586 (Tel: 7149244460)

📍

Business Mailing Address (Initial Record) June 10, 2018

Registered at 1018 SABLE, RSM, CA 926885586

👤

Provider Name / Credentials (Initial Record) June 10, 2018

Recorded as MARK KAHLEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2018

Public Health or Welfare

🟢

Initial NPI Registration & Enumeration June 10, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346733805

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 10, 2018

Last Update: June 10, 2018

Deactivation Date: August 19, 2018

Update or Correct Profile

Mailing Address

1018 Sable

Rsm, CA 926885586

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.