Karl Friedrich Vontiehl, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A95085 Issued in CA

Practice address

375 Huntington Dr
Suite C
San Marino, CA 91108-2357

Phone

(626) 460-6038

Fax

(877) 886-6123

NPI assigned

Sep 5, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Medical College of Ohio, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Karl Von Tiehl, MD, Inc.

  dba Bowtie Allergy Specialists

  • Medical Specialty Clinic/Center
  • San Marino, CA
  • NPI 1467886507
  Medicare reassignment NPD Authorized official
• Pasadena Hospital Association, LTD.

  dba Huntington Hospital

  • Psychiatric Hospital Unit
  • Pasadena, CA
  • NPI 1437121142
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1013165869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 HUNTINGTON DR",
            "address_2": "SUITE C",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082357",
            "telephone_number": "626-460-6038",
            "fax_number": "877-886-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HUNTINGTON DR",
            "address_2": "SUITE C",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082357",
            "telephone_number": "626-460-6038",
            "fax_number": "877-886-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONTIEHL",
        "first_name": "KARL",
        "middle_name": "FRIEDRICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A95085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Trujillo, PH.D
• Judy Tung, MHS, PA-C
• Christine Tzeng, COTA
• Van Nuys Diagnostic Services, Inc.
• Vision Institute of Southern California a Professional Medical Corpora (IQ Laser Vision)
• Elyse Vrymoed
• Tricia Paige Walton
• Ai Wang
• John Ginhsun Wear
• Grace Wehbeh

• Allergy & Immunology Physician in San Marino, CA
• Providers in San Marino, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.