Active NPI
Michael D Krak, M.D.
- Pediatrics Physician
- Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G41229
- Practice address
- 2067 W Vista Way Ste 280
Vista, CA 92083-6034 - Phone
- (760) 941-3630
- Fax
- (760) 941-1214
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G41229 | CA | Primary |
Addresses
Primary practice location
2067 W Vista Way Ste 280
Vista, CA 92083-6034
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G412290 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G41229 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Family Medicine GP | Pediatrics | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Cassidy Medical Group Inc. | Current | Accepting new patients | |
| Beaver Medical Group P C | Pediatrics | Current | Accepting new patients |
| Scripps Health | Past | Accepting new patients | |
| Rady Children'S Hospital San Diego | Past | Accepting new patients | |
| Tri-City Hospital | Past | Accepting new patients |
Locations
4910 Airport Plaza Dr
Ste 210
Long Beach, CA 90815
Phone (562) 421-3727
3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599
26991 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 393-5426
2540 N Santiago Blvd
Orange, CA 92867
Phone (714) 921-1030
145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487
2067 W Vista Way
Ste 280
Vista, CA 92083
Phone (760) 941-1440
Interoperability endpoints
- mkrak34549@scrippshlth.medalliesdirect.net
- mkrak21904@epiclp.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Vista, CA
- NPI 1215003470
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1003989419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2067 W VISTA WAY STE 280",
"city": "VISTA",
"state": "CA",
"postal_code": "920836034",
"telephone_number": "760-941-3630",
"fax_number": "760-941-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAK",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G41229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G412290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.