{"schema":"gale.providerFacts/1","npi":"1679584486","url":"https://www.gale.care/providers/ca/la-jolla/arthur-kavanaugh-md-1679584486","factsUrl":"https://www.gale.care/npi/1679584486.json","markdownUrl":"https://www.gale.care/npi/1679584486.md","generatedAt":"2026-11-03T01:23:03.081Z","exportId":"elig-ca-20261023T221350Z","factsHash":"c1b30e505d1e2de0","factsChangedAt":"2026-10-23T00:00:00.000Z","index":{"robots":"index","basis":"index-all"},"summary":"Arthur Kavanaugh, MD (NPI 1679584486) is listed in the NPPES registry with the specialty Rheumatology Physician in La Jolla, CA, phone (858) 657-7044, as of the registry file of Jun 8, 2026.","identity":{"name":{"id":"name","value":"Arthur Kavanaugh","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Arthur Kavanaugh under NPI 1679584486, as of the registry file of Jun 8, 2026."},"credential":{"id":"credential","value":"MD","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists the credential MD for Arthur Kavanaugh, MD (NPI 1679584486), as of the registry file of Jun 8, 2026."},"specialty":{"id":"specialty","value":"Rheumatology Physician","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Arthur Kavanaugh, MD (NPI 1679584486) under the specialty Rheumatology Physician, as of the registry file of Jun 8, 2026."},"registryStage":{"id":"registry-stage","value":"as-listed","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry does not list Arthur Kavanaugh, MD (NPI 1679584486) under a training program, as of the registry file of Jun 8, 2026."},"npiIssued":{"id":"npi-issued","value":2006,"status":"confirmed","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry shows NPI 1679584486 (Arthur Kavanaugh, MD) issued in 2006, as of the registry file of Jun 8, 2026."},"practiceType":{"id":"practice-type","value":"sole-proprietor","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Arthur Kavanaugh, MD (NPI 1679584486) as a sole proprietor, as of the registry file of Jun 8, 2026."}},"location":{"city":{"id":"city","value":"La Jolla","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists a practice location in La Jolla for Arthur Kavanaugh, MD (NPI 1679584486), as of the registry file of Jun 8, 2026."},"state":{"id":"state","value":"CA","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists a practice location in CA for Arthur Kavanaugh, MD (NPI 1679584486), as of the registry file of Jun 8, 2026."}},"contact":{"phone":{"id":"phone","value":"(858) 657-7044","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists (858) 657-7044 as the practice phone for Arthur Kavanaugh, MD (NPI 1679584486), as of the registry file of Jun 8, 2026."}},"care":{"newPatients":{"id":"new-patients","value":true,"status":"confirmed","source":"cigna-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:36:04Z","staleAfter":"2027-01-20","confidence":"high","gate":"G4","sentence":"Cigna's directory listed Arthur Kavanaugh, MD (NPI 1679584486) as taking new patients on Oct 22, 2026."},"video":{"id":"video","value":"both","status":"confirmed","source":"cms-medicare-clinicians","asOf":"2026-10-02","checkedAt":"2026-10-22T14:36:32Z","staleAfter":"2027-01-30","confidence":"high","gate":"G5","sentence":"CMS Medicare clinicians file listed Arthur Kavanaugh, MD (NPI 1679584486) for video and in-person visits on Oct 2, 2026."}},"insurance":{"rows":[{"id":"ins-bsc-commercial","value":{"payer":"bsc","payerLabel":"Blue Shield of California","line":"commercial","products":["ACCESS+ HMO","CALPERS ACCESS +","CCPOA HMO","FEHBP ACCESS + HMO"],"accepts":true,"setting":"office"},"status":"confirmed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"medium","gate":"G3","sentence":"Listed: Blue Shield of California's directory listed Arthur Kavanaugh, MD (NPI 1679584486) for Blue Shield of California commercial plans on Oct 22, 2026. Gale checked 60 listings in this directory by hand on Oct 22, 2026; 23 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-bsc-medi-cal","value":{"payer":"bsc","payerLabel":"Blue Shield of California Promise Health Plan","line":"medi-cal","products":["Blue Shield of California Promise"],"accepts":true,"setting":"office"},"status":"confirmed","source":"dhcs-mcp-274-listing","asOf":"2026-04-21","checkedAt":"2026-10-22T14:42:02Z","staleAfter":"2026-08-19","confidence":"medium","gate":"G3","sentence":"Listed: DHCS Medi-Cal plan network listing listed Arthur Kavanaugh, MD (NPI 1679584486) for Blue Shield of California Promise Health Plan Medi-Cal plans on Apr 21, 2026. The state file is old; Gale found no newer one.","cautions":["stale"],"staleNote":"The state file is old; Gale found no newer one."},{"id":"ins-caloptima-medi-cal","value":{"payer":"caloptima","payerLabel":"CalOptima Health","line":"medi-cal","products":["Orange County Health Authority, dba CalOptima-2026"],"accepts":true,"setting":null},"status":"confirmed","source":"caloptima-fhir-directory","asOf":"2026-10-11","checkedAt":"2026-10-22T21:38:03Z","staleAfter":"2027-04-09","confidence":"medium","gate":"G3","sentence":"Listed: CalOptima Health's directory listed Arthur Kavanaugh, MD (NPI 1679584486) for CalOptima Health Medi-Cal plans on Oct 11, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 4 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-cigna-commercial","value":{"payer":"cigna","payerLabel":"Cigna / Evernorth","line":"commercial","products":["CALIFORNIA OAP DIRECT","CALIFORNIA PPO-PPA DIRECT","PATHWELL CIGNA","PATHWELL CIGNA OA FLEX"],"accepts":true,"setting":"office"},"status":"confirmed","source":"cigna-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:36:04Z","staleAfter":"2027-04-20","confidence":"high","gate":"G3","sentence":"Listed: Cigna's directory listed Arthur Kavanaugh, MD (NPI 1679584486) for Cigna / Evernorth commercial plans on Oct 22, 2026. Gale checked 51 listings in this directory by hand on Oct 22, 2026; 3 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-chg-medi-cal","value":{"payer":"chg","payerLabel":"Community Health Group","line":"medi-cal","products":["Community Health Group Partnership Plan"],"accepts":true,"setting":"office"},"status":"confirmed","source":"dhcs-mcp-274-listing","asOf":"2026-04-21","checkedAt":"2026-10-22T14:42:02Z","staleAfter":"2026-08-19","confidence":"medium","gate":"G3","sentence":"Listed: DHCS Medi-Cal plan network listing listed Arthur Kavanaugh, MD (NPI 1679584486) for Community Health Group Medi-Cal plans on Apr 21, 2026. The state file is old; Gale found no newer one.","cautions":["stale"],"staleNote":"The state file is old; Gale found no newer one."},{"id":"ins-humana-medicare-advantage","value":{"payer":"humana","payerLabel":"Humana","line":"medicare-advantage","products":["Gold Plus HMO27","Natl Medicare HMO/SNP-Travel","Natl Medicare HMO/SNP-Travel27"],"accepts":true,"setting":"office"},"status":"confirmed","source":"humana-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-23T21:53:28Z","staleAfter":"2027-04-20","confidence":"high","gate":"G3","sentence":"Listed: Humana's directory listed Arthur Kavanaugh, MD (NPI 1679584486) for Humana Medicare Advantage plans on Oct 22, 2026."},{"id":"ins-medi-cal-ffs-medi-cal","value":{"payer":"medi-cal-ffs","payerLabel":"Medi-Cal fee-for-service","line":"medi-cal","products":["Medi-Cal FFS"],"accepts":true,"setting":null},"status":"confirmed","source":"dhcs-ffs-enrolled-2026-10-19","asOf":"2026-10-19","checkedAt":"2026-10-22T14:41:40Z","staleAfter":"2027-02-16","confidence":"high","gate":"G3","sentence":"Listed: DHCS Medi-Cal fee-for-service enrolment file listed Arthur Kavanaugh, MD (NPI 1679584486) for Medi-Cal fee-for-service on Oct 19, 2026."},{"id":"ins-molina-medi-cal","value":{"payer":"molina","payerLabel":"Molina Healthcare (Medi-Cal)","line":"medi-cal","products":["MOLINA MEDI-CAL"],"accepts":true,"setting":"office"},"status":"confirmed","source":"dhcs-mcp-274-listing","asOf":"2026-04-21","checkedAt":"2026-10-22T14:42:02Z","staleAfter":"2026-08-19","confidence":"medium","gate":"G3","sentence":"Listed: DHCS Medi-Cal plan network listing listed Arthur Kavanaugh, MD (NPI 1679584486) for Molina Healthcare (Medi-Cal) on Apr 21, 2026. The state file is old; Gale found no newer one.","cautions":["stale"],"staleNote":"The state file is old; Gale found no newer one."},{"id":"ins-medicare-medicare","value":{"payer":"medicare","payerLabel":"Original Medicare","line":"medicare","products":["Medicare Part B"],"accepts":true,"setting":"both"},"status":"confirmed","source":"cms-medicare-clinicians","asOf":"2026-10-02","checkedAt":"2026-10-22T14:36:32Z","staleAfter":"2027-01-30","confidence":"high","gate":"G3","sentence":"Listed: CMS Medicare clinicians file listed Arthur Kavanaugh, MD (NPI 1679584486) for Original Medicare on Oct 2, 2026. Gale checked 23 listings in this file by hand on Oct 22, 2026; none were wrong."},{"id":"ins-uhc-commercial","value":{"payer":"uhc","payerLabel":"UnitedHealthcare","line":"commercial","products":["Charter HMO/Charter Balanced HMO/Charter Plus HMO","Charter Plus","Charter/Charter Balanced","Choice","Choice Plus","Choice Plus HMO Premier","NexusACO OA","NexusACO OA HMO/NexusACO OAP HMO"],"accepts":true,"setting":"office"},"status":"confirmed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"medium","gate":"G3","sentence":"Listed: UnitedHealthcare's directory listed Arthur Kavanaugh, MD (NPI 1679584486) for UnitedHealthcare commercial plans on Oct 23, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-uhc-medicare-advantage","value":{"payer":"uhc","payerLabel":"UnitedHealthcare","line":"medicare-advantage","products":["AARP Medicare Advantage from UHC CA-0024 (PPO)","UnitedHealthcare Group Medicare Advantage (HMO)","UnitedHealthcare Group Medicare Advantage (HMO) H4514_H4527","UnitedHealthcare Group Medicare Advantage (HMO) H5253","UnitedHealthcare Group Medicare Advantage (PPO)"],"accepts":true,"setting":"office"},"status":"confirmed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"medium","gate":"G3","sentence":"Listed: UnitedHealthcare's directory listed Arthur Kavanaugh, MD (NPI 1679584486) for UnitedHealthcare Medicare Advantage plans on Oct 23, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-aetna-commercial","value":{"payer":"aetna","payerLabel":"Aetna","line":"commercial","products":["AHF Choice POS II","AHF OA MC","AHF Open Access Aetna Select","Aetna Choice POS II","Aetna Open Access Health Network Only","Aetna Select","HF OPEN POS II","HMO"],"accepts":null,"setting":null},"status":"inferred","source":"aetna-tic-2026-10","asOf":"2026-10-05","checkedAt":"2026-10-22T17:01:05Z","staleAfter":"2027-04-03","confidence":"low","gate":"G3i","sentence":"Likely: Aetna's price file suggests Aetna pays Arthur Kavanaugh, MD (NPI 1679584486) for commercial plans (file of Oct 5, 2026). That is a lead, not a directory listing."},{"id":"ins-healthnet-marketplace","value":{"payer":"healthnet","payerLabel":"Ambetter from Health Net","line":"marketplace","products":["Ambetter from Health Net (Exchange CA)"],"accepts":null,"setting":null},"status":"inferred","source":"healthnet-tic-2026-09","asOf":"2026-09-28","checkedAt":"2026-10-22T17:00:57Z","staleAfter":"2027-03-27","confidence":"low","gate":"G3i","sentence":"Likely: Health Net's price file suggests Ambetter from Health Net pays Arthur Kavanaugh, MD (NPI 1679584486) for individual and family plans (file of Sep 28, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-commercial","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"commercial","products":["CA DIGNITY HEALTH ECHW","CA EPO BLUE CONNECTION","CA EPO HIGH PERFORMANCE","CA EPO HIGH PERFORMANCE FALL-THRU MIX F","CA EPO USC TIER 1","CA HMO ADVANTAGE","CA HMO ADVANTAGE PLUS CC55","CA HMO ADVANTAGE TIER 1"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Arthur Kavanaugh, MD (NPI 1679584486) for commercial plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-marketplace","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"marketplace","products":["CA EPO Pathway","CA HMO Pathway"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Arthur Kavanaugh, MD (NPI 1679584486) for individual and family plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-workers-comp","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"workers-comp","products":["CA WORKERS COMP PERCENTAGE","CA WORKERS COMP WC06","CA WORKERS COMPENSATION"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Arthur Kavanaugh, MD (NPI 1679584486) for workers' compensation (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-ahf-medi-cal","value":null,"status":"not-listed","source":"ahf-fhir-directory","asOf":"2026-09-19","checkedAt":"2026-10-22T14:57:40Z","staleAfter":"2027-03-18","confidence":"low","gate":"G3","sentence":"Not listed by AIDS Healthcare Foundation (PHP) Medi-Cal plans for Arthur Kavanaugh, MD (NPI 1679584486) in AIDS Healthcare Foundation (PHP)'s directory, file of Sep 19, 2026. That is not a no.","checkedSources":[{"source":"ahf-fhir-directory","asOf":"2026-09-19"}]},{"id":"ins-ahf-medicare-advantage","value":null,"status":"not-listed","source":"ahf-fhir-directory","asOf":"2026-09-15","checkedAt":"2026-10-22T14:57:40Z","staleAfter":"2027-03-14","confidence":"low","gate":"G3","sentence":"Not listed by AIDS Healthcare Foundation (PHP) Medicare Advantage plans for Arthur Kavanaugh, MD (NPI 1679584486) in AIDS Healthcare Foundation (PHP)'s directory, file of Sep 15, 2026. That is not a no.","checkedSources":[{"source":"ahf-fhir-directory","asOf":"2026-09-15"}]},{"id":"ins-bsc-marketplace","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California individual and family plans for Arthur Kavanaugh, MD (NPI 1679584486) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-bsc-medicare-advantage","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California Medicare Advantage plans for Arthur Kavanaugh, MD (NPI 1679584486) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-calviva-medi-cal","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-21","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-19","confidence":"low","gate":"G3","sentence":"Not listed by CalViva Health Medi-Cal plans for Arthur Kavanaugh, MD (NPI 1679584486) in Health Net's directory, file of Oct 21, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-21"}]},{"id":"ins-ccah-medi-cal","value":null,"status":"not-listed","source":"ccah-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T14:57:43Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Central California Alliance for Health Medi-Cal plans for Arthur Kavanaugh, MD (NPI 1679584486) in Central California Alliance for Health's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"ccah-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-goldcoast-medi-cal","value":null,"status":"not-listed","source":"goldcoast-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T14:57:24Z","staleAfter":"2027-04-07","confidence":"low","gate":"G3","sentence":"Not listed by Gold Coast Health Plan Medi-Cal plans for Arthur Kavanaugh, MD (NPI 1679584486) in Gold Coast Health Plan's directory, file of Oct 9, 2026. That is not a no.","checkedSources":[{"source":"goldcoast-fhir-directory","asOf":"2026-10-09"}]},{"id":"ins-healthnet-commercial","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Health Net commercial plans for Arthur Kavanaugh, MD (NPI 1679584486) in Health Net's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-healthnet-medi-cal","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Health Net Medi-Cal plans for Arthur Kavanaugh, MD (NPI 1679584486) in Health Net's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-healthnet-medicare-advantage","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Wellcare by Health Net Medicare Advantage plans for Arthur Kavanaugh, MD (NPI 1679584486) in Health Net's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-hpsj-medi-cal","value":null,"status":"not-listed","source":"hpsj-fhir-directory","asOf":"2026-10-02","checkedAt":"2026-10-22T21:41:38Z","staleAfter":"2027-03-31","confidence":"low","gate":"G3","sentence":"Not listed by Health Plan of San Joaquin Medi-Cal plans for Arthur Kavanaugh, MD (NPI 1679584486) in Health Plan of San Joaquin's directory, file of Oct 2, 2026. That is not a no.","checkedSources":[{"source":"hpsj-fhir-directory","asOf":"2026-10-02"}]},{"id":"ins-iehp-marketplace","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-07-27","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-23","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) individual and family plans for Arthur Kavanaugh, MD (NPI 1679584486) in Inland Empire Health Plan (IEHP)'s directory, file of Jul 27, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-07-27"}]},{"id":"ins-iehp-medi-cal","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-07-29","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-25","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) Medi-Cal plans for Arthur Kavanaugh, MD (NPI 1679584486) in Inland Empire Health Plan (IEHP)'s directory, file of Jul 29, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-07-29"}]},{"id":"ins-iehp-medicare-advantage","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-10-16","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-04-14","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) Medicare Advantage plans for Arthur Kavanaugh, MD (NPI 1679584486) in Inland Empire Health Plan (IEHP)'s directory, file of Oct 16, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-10-16"}]},{"id":"ins-kern-medi-cal","value":null,"status":"not-listed","source":"kern-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T15:04:08Z","staleAfter":"2027-04-07","confidence":"low","gate":"G3","sentence":"Not listed by Kern Family Health Care Medi-Cal plans for Arthur Kavanaugh, MD (NPI 1679584486) in Kern Family Health Care's directory, file of Oct 9, 2026. That is not a no.","checkedSources":[{"source":"kern-fhir-directory","asOf":"2026-10-09"}]},{"id":"ins-lacare-medi-cal","value":null,"status":"not-listed","source":"lacare-fhir-directory","asOf":"2026-10-19","checkedAt":"2026-10-22T15:06:55Z","staleAfter":"2027-04-17","confidence":"low","gate":"G3","sentence":"Not listed by L.A. Care Health Plan Medi-Cal plans for Arthur Kavanaugh, MD (NPI 1679584486) in L.A. Care Health Plan's directory, file of Oct 19, 2026. That is not a no.","checkedSources":[{"source":"lacare-fhir-directory","asOf":"2026-10-19"}]},{"id":"ins-optum-medicare-advantage","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by Optum Behavioral Health Medicare Advantage plans for Arthur Kavanaugh, MD (NPI 1679584486) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-partnership-medi-cal","value":null,"status":"not-listed","source":"partnership-fhir-directory","asOf":"2026-10-16","checkedAt":"2026-10-22T21:38:25Z","staleAfter":"2027-04-14","confidence":"low","gate":"G3","sentence":"Not listed by Partnership HealthPlan of California Medi-Cal plans for Arthur Kavanaugh, MD (NPI 1679584486) in Partnership HealthPlan of California's directory, file of Oct 16, 2026. That is not a no.","checkedSources":[{"source":"partnership-fhir-directory","asOf":"2026-10-16"}]},{"id":"ins-sfhp-medi-cal","value":null,"status":"not-listed","source":"sfhp-fhir-directory","asOf":"2026-10-01","checkedAt":"2026-10-22T14:56:20Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3","sentence":"Not listed by San Francisco Health Plan Medi-Cal plans for Arthur Kavanaugh, MD (NPI 1679584486) in San Francisco Health Plan's directory, file of Oct 1, 2026. That is not a no.","checkedSources":[{"source":"sfhp-fhir-directory","asOf":"2026-10-01"}]},{"id":"ins-uhc-marketplace","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by UnitedHealthcare individual and family plans for Arthur Kavanaugh, MD (NPI 1679584486) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-uhc-medi-cal","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by UnitedHealthcare Medi-Cal plans for Arthur Kavanaugh, MD (NPI 1679584486) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-va-va","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by VA Community Care for Arthur Kavanaugh, MD (NPI 1679584486) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]}],"coverage":{"state":"CA","covered":true,"checkedAt":"2026-10-23T22:13:50Z"}},"publicRecord":{},"claim":{"claimed":false,"identityConfirmedOn":null},"actions":{"call":"tel:+18586577044","book":null,"payDoor":null,"saveContact":"/npi/1679584486.vcf","intent":null},"hiddenFacts":[],"answers":[{"q":"new-patients","status":"confirmed","answer":"Cigna's directory listed Arthur Kavanaugh, MD (NPI 1679584486) as taking new patients on Oct 22, 2026.","factIds":["new-patients"]},{"q":"insurance","status":"confirmed","answer":"Listed for Arthur Kavanaugh, MD (NPI 1679584486): Blue Shield of California, commercial (Oct 22, 2026); Blue Shield of California Promise Health Plan, Medi-Cal (Apr 21, 2026); CalOptima Health, Medi-Cal (Oct 11, 2026); Cigna / Evernorth, commercial (Oct 22, 2026); Community Health Group, Medi-Cal (Apr 21, 2026); and 6 more on the page. Each listing names its source and date.","factIds":["ins-bsc-commercial","ins-bsc-medi-cal","ins-caloptima-medi-cal","ins-cigna-commercial","ins-chg-medi-cal","ins-humana-medicare-advantage","ins-medi-cal-ffs-medi-cal","ins-molina-medi-cal","ins-medicare-medicare","ins-uhc-commercial","ins-uhc-medicare-advantage"]},{"q":"cost","status":"unknown","answer":"Gale has no record of what a first visit with Arthur Kavanaugh, MD (NPI 1679584486) costs. Paying yourself? You can ask for a written Good Faith Estimate before the visit.","factIds":[]},{"q":"video","status":"confirmed","answer":"CMS Medicare clinicians file listed Arthur Kavanaugh, MD (NPI 1679584486) for video and in-person visits on Oct 2, 2026.","factIds":["video"]},{"q":"where","status":"self-reported","answer":"Arthur Kavanaugh, MD (NPI 1679584486) is listed in La Jolla, CA by the NPPES registry, as of the registry file of Jun 8, 2026.","factIds":["city","state"]},{"q":"who-they-see","status":"unknown","answer":"Gale has no record of who Arthur Kavanaugh, MD (NPI 1679584486) sees. Ask the office.","factIds":[]},{"q":"help-with","status":"unknown","answer":"Gale has no record of what Arthur Kavanaugh, MD (NPI 1679584486) helps with beyond the registry specialty. Ask the office.","factIds":[]},{"q":"languages","status":"unknown","answer":"Gale has no record of the languages Arthur Kavanaugh, MD (NPI 1679584486) speaks. Ask the office.","factIds":[]},{"q":"how-to-book","status":"self-reported","answer":"Call (858) 657-7044, the practice phone the NPPES registry lists for Arthur Kavanaugh, MD (NPI 1679584486) (Jun 8, 2026).","factIds":["phone"]},{"q":"next-opening","status":"unknown","answer":"Gale has no record of the next opening for Arthur Kavanaugh, MD (NPI 1679584486). Ask the office.","factIds":[]}],"sources":[{"id":"nppes-registry","name":"NPPES registry (CMS)","kind":"registry","asserting":true,"fileDate":"2026-06-08","url":"https://npiregistry.cms.hhs.gov/provider-view/1679584486","handCheck":null},{"id":"aetna-tic-2026-10","name":"Aetna's price file","kind":"price-file","asserting":false,"fileDate":"2026-10-05","url":null,"handCheck":{"wrong":3,"checked":12,"at":"2026-10-22"}},{"id":"ahf-fhir-directory","name":"AIDS Healthcare Foundation (PHP)'s directory","kind":"directory","asserting":true,"fileDate":"2026-09-19","url":null,"handCheck":null},{"id":"anthem-tic-2026-10","name":"Anthem Blue Cross's price file","kind":"price-file","asserting":false,"fileDate":"2026-10-01","url":null,"handCheck":{"wrong":8,"checked":11,"at":"2026-10-22"}},{"id":"bsc-fhir-directory","name":"Blue Shield of California's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":23,"checked":60,"at":"2026-10-22"}},{"id":"caloptima-fhir-directory","name":"CalOptima Health's directory","kind":"directory","asserting":true,"fileDate":"2026-10-11","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"ccah-fhir-directory","name":"Central California Alliance for Health's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":null},{"id":"cigna-fhir-directory","name":"Cigna's directory","kind":"directory","asserting":false,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":3,"checked":51,"at":"2026-10-22"}},{"id":"cms-medicare-clinicians","name":"CMS Medicare clinicians file","kind":"cms-file","asserting":true,"fileDate":"2026-10-02","url":null,"handCheck":{"wrong":0,"checked":23,"at":"2026-10-22"}},{"id":"dhcs-ffs-enrolled-2026-10-19","name":"DHCS Medi-Cal fee-for-service enrolment file","kind":"state-file","asserting":true,"fileDate":"2026-10-19","url":null,"handCheck":null},{"id":"dhcs-mcp-274-listing","name":"DHCS Medi-Cal plan network listing","kind":"state-file","asserting":true,"fileDate":"2026-04-21","url":null,"handCheck":null},{"id":"goldcoast-fhir-directory","name":"Gold Coast Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-09","url":null,"handCheck":null},{"id":"healthnet-fhir-directory","name":"Health Net's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":6,"checked":12,"at":"2026-10-22"}},{"id":"healthnet-tic-2026-09","name":"Health Net's price file","kind":"price-file","asserting":false,"fileDate":"2026-09-28","url":null,"handCheck":null},{"id":"hpsj-fhir-directory","name":"Health Plan of San Joaquin's directory","kind":"directory","asserting":true,"fileDate":"2026-10-02","url":null,"handCheck":null},{"id":"humana-fhir-directory","name":"Humana's directory","kind":"directory","asserting":true,"fileDate":"2026-10-23","url":null,"handCheck":null},{"id":"iehp-fhir-directory","name":"Inland Empire Health Plan (IEHP)'s directory","kind":"directory","asserting":true,"fileDate":"2026-10-16","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"kern-fhir-directory","name":"Kern Family Health Care's directory","kind":"directory","asserting":true,"fileDate":"2026-10-09","url":null,"handCheck":null},{"id":"lacare-fhir-directory","name":"L.A. Care Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-19","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"partnership-fhir-directory","name":"Partnership HealthPlan of California's directory","kind":"directory","asserting":true,"fileDate":"2026-10-16","url":null,"handCheck":null},{"id":"sfhp-fhir-directory","name":"San Francisco Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-01","url":null,"handCheck":null},{"id":"uhc-fhir-directory","name":"UnitedHealthcare's directory","kind":"directory","asserting":true,"fileDate":"2026-10-23","url":null,"handCheck":{"wrong":6,"checked":12,"at":"2026-10-22"}}],"terms":"https://www.gale.care/agents#terms","about":{"status":"How each fact is known. confirmed = Listed: a named directory, CMS file or state file lists it. inferred = Likely: a price file suggests it; a likely match is a lead, not a listing. self-reported: the clinician said it, to the NPPES registry or on Gale. not-listed: a source that lists every clinician it covers was read and does not list this one; that is not a no. unknown: no record; ask the office.","sentence":"The fact in one sentence that names the clinician, the NPI, the source and the date. It starts with the status word. Quote it whole.","asOf":"The date the source gives this record (YYYY-MM-DD). It is not the date of the event the record describes: an opt-out states its own start and end dates in its sentence.","checkedAt":"When Gale last read the source.","staleAfter":"After this date the fact keeps its status word and date, and staleNote says the record is old; later still it is dropped. A fact from a full CMS or state file the publisher has not replaced stays, marked stale, for as long as that file is the newest one, and its staleNote says Gale found no newer file.","staleNote":"On a fact past its fresh window only: the record's age, as its own sentence (\"The state file is old; Gale found no newer one.\"). It never changes the status.","confidence":"How far Gale trusts the source, measured on the source (high, medium, low, none). Never a judgment of the clinician.","cautions":"hand-check: Gale checked a sample of this source by hand and found errors (sources[].handCheck has the numbers). conflict: another source disagrees (see conflict). stale: the record is past its fresh window. A caution never changes the status.","gate":"The publication switch that lets this kind of fact show. It says nothing about the clinician.","checkedSources":"For a not-listed fact: each source that was read, with its date.","insurance.rows[].value":"payer is a short id for the plan and payerLabel its name. line is the kind of plan: commercial, marketplace (individual and family), medicare, medicare-advantage, medi-cal, tricare, va, workers-comp. accepts is true on a listing and false only on a dated refusal (a directory's \"not accepting\" or an opt-out), never from absence; on a lead (status inferred) it is null, because a price file never says a clinician accepts a plan. optOut, on an Original Medicare opt-out, is the opt-out's own start and end dates (from, to) from CMS's opt-out list. setting is where the listing says care happens (office, virtual, both), or null when the source does not say.","insurance.coverage":"covered: whether Gale read the insurance files for this state; checkedAt: when it last did.","sources[].kind":"registry: the NPPES registry. cms-file, state-file: government files. directory: an insurer's directory. price-file: an insurer's published rates, which give leads only. gale: Gale's booking system. clinician: the clinician on Gale.","sources[].fileDate":"The date of the source file Gale read.","sources[].handCheck":"Gale's hand check of the source: checked is how many of its entries Gale checked by hand, wrong how many of those were wrong, at the date of the check. It describes the source, not this clinician.","sources[].asserting":"true when the source lists every clinician it covers, so its silence can support a not-listed fact. Only such sources ever do.","factsHash":"Changes only when a fact changes, never on a re-check.","index.basis":"Why the page is or is not indexed. index-all: indexed. Anything else: not indexed, and no reason about the clinician is given.","exportId":"The data export the facts come from.","hiddenFacts":"Facts withheld because someone disputed them. No reason is given."}}